LORI JEAN COLVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165857

License Status

NOT RENEWED

Business

First Name

LORI

Middle

JEAN

Last Name

COLVIN

Business Name

LORI JEAN COLVIN

Original Issue Date

12/30/2005

Effective Date

03/11/2010

Expiration Date

03/31/2011

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/12/2011