JACK J LAZZARA - Pharmacist License in Illinois | # 049064710

JACK J LAZZARA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064710

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005