ANTWAN L COLLINS - Pharmacist License in Illinois | # 049198230

ANTWAN L COLLINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198230

License Status

NOT RENEWED

Business

N

First Name

ANTWAN

Middle

L

Last Name

COLLINS

Business Name

ANTWAN L COLLINS

Original Issue Date

05/06/2010

Effective Date

05/06/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011