G TODD COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096454

License Status

NOT RENEWED

Business

First Name

G TODD

Last Name

COLLINS

Business Name

G TODD COLLINS

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005