TAKILYA L COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148338

License Status

NOT RENEWED

Business

First Name

TAKILYA

Middle

Last Name

COLLINS

Business Name

TAKILYA L COLLINS

Original Issue Date

04/25/2003

Effective Date

04/25/2003

Expiration Date

03/31/2006

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006