SALINA MARIE HAZELWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136517

License Status

NOT RENEWED

Business

First Name

SALINA

Middle

MARIE

Last Name

HAZELWOOD

Business Name

SALINA MARIE HAZELWOOD

Original Issue Date

06/01/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008