GERVAISE M COLLINS-MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118140

License Status

NOT RENEWED

Business

First Name

GERVAISE

Middle

Last Name

COLLINS-MACK

Business Name

GERVAISE M COLLINS-MACK

Original Issue Date

07/16/1997

Effective Date

07/16/1997

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005