MARIE M COLLAZO - Pharmacist License in Illinois | # 049104519

MARIE M COLLAZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104519

License Status

NOT RENEWED

Business

N

First Name

MARIE

Middle

M

Last Name

COLLAZO

Business Name

MARIE M COLLAZO

Original Issue Date

09/14/1993

Effective Date

09/14/1993

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005