ANGIE KARINA COLLAZOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177278

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

KARINA

Last Name

COLLAZOS

Business Name

ANGIE KARINA COLLAZOS

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

03/31/2008

City

STONE PARK

State

Zip

60165

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008