JENNIFER LYNN COLLINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154460

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

LYNN

Last Name

COLLINS

Business Name

JENNIFER LYNN COLLINS

Original Issue Date

05/21/2004

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/12/2012