KIMBERLY SUZANNE MAZUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146783

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

SUZANNE

Last Name

MAZUR

Business Name

KIMBERLY SUZANNE MAZUR

Original Issue Date

01/23/2003

Effective Date

01/23/2003

Expiration Date

03/31/2004

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005