TERESA ANNETTE COLVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232609

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

ANNETTE

Last Name

COLVIN

Business Name

TERESA ANNETTE COLVIN

Original Issue Date

04/24/2015

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019