MARIE M COLLAZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104519

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

COLLAZO

Business Name

MARIE M COLLAZO

Original Issue Date

09/14/1993

Effective Date

09/14/1993

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005