PATRICK MICHAEL EZZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135374

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

MICHAEL

Last Name

EZZO

Business Name

PATRICK MICHAEL EZZO

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005