GLEN L EZAKI - Pharmacist License in Illinois | # 049053864

GLEN L EZAKI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053864

License Status

NOT RENEWED

Business

N

First Name

GLEN L

Last Name

EZAKI

Business Name

GLEN L EZAKI

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005