VIDA R MAZZOCCO Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060427

License Status

CANCELLED

Business

First Name

VIDA R

Last Name

MAZZOCCO

Business Name

VIDA R MAZZOCCO

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

01/01/1997

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

06/20/2007