MARY I COLVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133292

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

COLVIN

Business Name

MARY I COLVIN

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

03/31/2002

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005