KATHLEEN MARIE MAZIENIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145042

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

MAZIENIS

Business Name

KATHLEEN MARIE MAZIENIS

Original Issue Date

10/02/2002

Effective Date

03/26/2020

Expiration Date

03/31/2021

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021