MARYLOU A KAZUMURA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143943

License Status

NOT RENEWED

Business

First Name

MARYLOU

Middle

Last Name

KAZUMURA

Business Name

MARYLOU A KAZUMURA

Original Issue Date

07/31/2002

Effective Date

07/31/2002

Expiration Date

03/31/2005

City

INGLESIDE IC

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005