MARTHA L STAZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070251

License Status

NOT RENEWED

Business

First Name

MARTHA L

Last Name

STAZAK

Business Name

MARTHA L STAZAK

Original Issue Date

10/20/1978

Effective Date

10/20/1978

Expiration Date

03/31/1998

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005