NICHOLAS B COLLINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289198

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

COLLINS

Business Name

NICHOLAS B COLLINS

Original Issue Date

10/29/2002

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

ROACH

State

Zip

65787

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/12/2012