BRENDA S COLLENBERGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150851

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

COLLENBERGER

Business Name

BRENDA S COLLENBERGER

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2006

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006