JENNIFER A BAZZANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095849

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

BAZZANO

Business Name

JENNIFER A BAZZANO

Original Issue Date

02/15/1991

Effective Date

02/15/1991

Expiration Date

03/31/1993

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005