JACOB G COLLINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185123

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

COLLINS

Business Name

JACOB G COLLINS

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

03/31/2009

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/06/2009