THOMAS A MAZIARKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105793

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

MAZIARKA

Business Name

THOMAS A MAZIARKA

Original Issue Date

01/24/1994

Effective Date

01/24/1994

Expiration Date

03/31/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005