LAURI MICHELLE MAZURKIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144873

License Status

NOT RENEWED

Business

First Name

LAURI

Middle

MICHELLE

Last Name

MAZURKIEWICZ

Business Name

LAURI MICHELLE MAZURKIEWICZ

Original Issue Date

09/26/2002

Effective Date

09/26/2002

Expiration Date

03/31/2005

City

FORT MYERS

State

Zip

33913

Ever Disciplined

LastModifiedDate

10/20/2005