MICHELE L MAZZOLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088262

License Status

NOT RENEWED

Business

First Name

MICHELE L

Last Name

MAZZOLA

Business Name

MICHELE L MAZZOLA

Original Issue Date

11/11/1988

Effective Date

11/11/1988

Expiration Date

03/31/1990

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005