ANTWAN L COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198230

License Status

NOT RENEWED

Business

First Name

ANTWAN

Middle

Last Name

COLLINS

Business Name

ANTWAN L COLLINS

Original Issue Date

05/06/2010

Effective Date

05/06/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011