COLETTE RAE PENALOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197221

License Status

NOT RENEWED

Business

First Name

COLETTE

Middle

RAE

Last Name

PENALOZA

Business Name

COLETTE RAE PENALOZA

Original Issue Date

03/09/2010

Effective Date

03/09/2010

Expiration Date

03/31/2011

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/12/2011