MARIA DENISE COLLINS-EASSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142757

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

DENISE

Last Name

COLLINS-EASSA

Business Name

MARIA DENISE COLLINS-EASSA

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005