CARL JOHN COLLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135959

License Status

NOT RENEWED

Business

First Name

CARL

Middle

JOHN

Last Name

COLLIN

Business Name

CARL JOHN COLLIN

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

03/31/2003

City

KENOSHA

State

Zip

53142

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005