STEPHAN H COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203290

License Status

NOT RENEWED

Business

First Name

STEPHAN

Middle

Last Name

COLLINS

Business Name

STEPHAN H COLLINS

Original Issue Date

03/23/2011

Effective Date

03/23/2011

Expiration Date

03/31/2012

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012