LYNETTE D BAZANT - Pharmacist License in Illinois | # 049096953

LYNETTE D BAZANT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096953

License Status

NOT RENEWED

Business

N

First Name

LYNETTE

Middle

D

Last Name

BAZANT

Business Name

LYNETTE D BAZANT

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005