NICHOLAS B COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143121

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

COLLINS

Business Name

NICHOLAS B COLLINS

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2003

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/20/2005