SCOTT THOMAS COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154258

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

THOMAS

Last Name

COLLINS

Business Name

SCOTT THOMAS COLLINS

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

03/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005