QUANETTA N COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116618

License Status

NOT RENEWED

Business

First Name

QUANETTA

Middle

Last Name

COLLINS

Business Name

QUANETTA N COLLINS

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

03/31/1998

City

ROCKFORD ILLINOIS

State

Zip

60651

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005