LISA L MAZZOTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087477

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MAZZOTTI

Business Name

LISA L MAZZOTTI

Original Issue Date

08/06/1988

Effective Date

08/06/1988

Expiration Date

03/31/1993

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005