ERICA DAWN MAZURKIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140036

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

DAWN

Last Name

MAZURKIEWICZ

Business Name

ERICA DAWN MAZURKIEWICZ

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

10/20/2005