AMANDA PAIGE MAZLIACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109816

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

PAIGE

Last Name

MAZLIACH

Business Name

AMANDA PAIGE MAZLIACH

Original Issue Date

03/16/1995

Effective Date

03/16/1995

Expiration Date

03/31/2001

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005