KATHY DENISE HAZLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072762

License Status

NOT RENEWED

Business

First Name

KATHY DENISE

Last Name

HAZLETT

Business Name

KATHY DENISE HAZLETT

Original Issue Date

04/02/1980

Effective Date

04/02/1980

Expiration Date

03/31/2001

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005