GERVAISE M COLLINS-MACK - Pharmacist License in Illinois | # 049118140

GERVAISE M COLLINS-MACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118140

License Status

NOT RENEWED

Business

N

First Name

GERVAISE

Middle

M

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005