LISA M MAZZACANO - Pharmacist License in Illinois | # 049150159

LISA M MAZZACANO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150159

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

MAZZACANO

Business Name

LISA M MAZZACANO

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005