MARK ALEXANDER ZABAWA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136167

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALEXANDER

Last Name

ZABAWA

Business Name

MARK ALEXANDER ZABAWA

Original Issue Date

05/02/2001

Effective Date

05/02/2001

Expiration Date

03/31/2004

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005