COLLEEN A MARLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172760

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

MARLETT

Business Name

COLLEEN A MARLETT

Original Issue Date

11/22/2006

Effective Date

11/22/2006

Expiration Date

03/31/2007

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007