BETHANY MORIAH COLLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172487

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

MORIAH

Last Name

COLLARD

Business Name

BETHANY MORIAH COLLARD

Original Issue Date

11/14/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2008