DAVID MICHAEL COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201662

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

COLLINS

Business Name

DAVID MICHAEL COLLINS

Original Issue Date

11/23/2010

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/07/2012