COLLEEN L GAVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099380

License Status

NOT RENEWED

Business

First Name

COLLEEN L

Last Name

GAVIN

Business Name

COLLEEN L GAVIN

Original Issue Date

02/11/1992

Effective Date

02/11/1992

Expiration Date

03/31/1994

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005