SUSAN L COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202648

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

COLLINS

Prefix

Business Name

SUSAN L COLLINS

Original Issue Date

02/07/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

ROCKTON

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013