LELAND H COLLEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029149

License Status

INACTIVE

Business

First Name

LELAND H

Last Name

COLLEN

Business Name

LELAND H COLLEN

Original Issue Date

08/05/1972

Effective Date

08/05/1972

Expiration Date

03/31/2000

City

SANTA FE

State

Zip

87505

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

12/06/2005