KENZI O COLASTRE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160462

License Status

NOT RENEWED

Business

First Name

KENZI

Middle

Last Name

COLASTRE

Business Name

KENZI O COLASTRE

Original Issue Date

04/21/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009