PHILLIP M LAZIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117084

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

LAZIK

Business Name

PHILLIP M LAZIK

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

03/31/1998

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005