TAKEYA COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219607

License Status

NOT RENEWED

Business

First Name

TAKEYA

Last Name

COLLINS

Prefix

Business Name

TAKEYA COLLINS

Original Issue Date

07/26/2013

Effective Date

07/26/2013

Expiration Date

03/31/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014