NICOLE RENEE COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144817

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

COLLINS

Business Name

NICOLE RENEE COLLINS

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

03/31/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005