BECKY ANN MAZZOTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069004

License Status

NOT RENEWED

Business

First Name

BECKY ANN

Last Name

MAZZOTTI

Business Name

BECKY ANN MAZZOTTI

Original Issue Date

03/17/1978

Effective Date

03/17/1978

Expiration Date

03/31/1984

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005