GERRETT STEPHAN COLLYMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174094

License Status

NOT RENEWED

Business

First Name

GERRETT

Middle

STEPHAN

Last Name

COLLYMORE

Business Name

GERRETT STEPHAN COLLYMORE

Original Issue Date

02/01/2007

Effective Date

03/26/2014

Expiration Date

03/31/2015

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015