GREGORY B MCCOLLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100125

License Status

NOT RENEWED

Business

First Name

GREGORY B

Last Name

MCCOLLUM

Business Name

GREGORY B MCCOLLUM

Original Issue Date

05/16/1992

Effective Date

05/16/1992

Expiration Date

03/31/2002

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005