MICHAEL O COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153583

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

COLLINS

Business Name

MICHAEL O COLLINS

Original Issue Date

03/11/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007