STACY ANN MAIVZZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126466

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANN

Last Name

MAIVZZO

Business Name

STACY ANN MAIVZZO

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

03/31/2000

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005