ROBERTO COLLAZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157091

License Status

NOT RENEWED

Business

First Name

ROBERTO

Last Name

COLLAZO

Business Name

ROBERTO COLLAZO

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

03/31/2005

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005