COLLIN ROBERT ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212218

License Status

NOT RENEWED

Business

First Name

COLLIN

Middle

ROBERT

Last Name

ANDERSON

Business Name

COLLIN ROBERT ANDERSON

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/31/2013

City

GOOD HOPE

State

Zip

61438

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/06/2013