ROBERTO COLLAZO - Pharmacist License in Illinois | # 049157091

ROBERTO COLLAZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157091

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005