JACK J LAZZARA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064710

License Status

CANCELLED

Business

First Name

JACK J

Last Name

LAZZARA

Business Name

JACK J LAZZARA

Original Issue Date

01/09/1976

Effective Date

01/09/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005