AGATA EDYTA MAZUREK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132816

License Status

NOT RENEWED

Business

First Name

AGATA

Middle

EDYTA

Last Name

MAZUREK

Business Name

AGATA EDYTA MAZUREK

Original Issue Date

09/21/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PUTNAM

State

Zip

61560

County

PUTNAM

Ever Disciplined

LastModifiedDate

05/02/2008