JOEL A MAZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147965

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

Last Name

MAZA

Business Name

JOEL A MAZA

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005