TATIANA M COLLAZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295164

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

Last Name

COLLAZO

Business Name

TATIANA M COLLAZO

Original Issue Date

08/20/2022

Effective Date

08/20/2022

Expiration Date

03/31/2023

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023