PHILLIP M LAZIK - Pharmacist License in Illinois | # 049117084

PHILLIP M LAZIK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117084

License Status

NOT RENEWED

Business

N

First Name

PHILLIP

Middle

M

Last Name

LAZIK

Business Name

PHILLIP M LAZIK

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005