ROBERT J MAZIARKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115755

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MAZIARKA

Business Name

ROBERT J MAZIARKA

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

03/31/2002

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005