GLEN L EZAKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053864

License Status

NOT RENEWED

Business

First Name

GLEN L

Last Name

EZAKI

Business Name

GLEN L EZAKI

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005