JOHN MICHAEL COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172014

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

COLLINS

Business Name

JOHN MICHAEL COLLINS

Original Issue Date

10/24/2006

Effective Date

10/24/2006

Expiration Date

03/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007