LISA M MAZZACANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150159

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MAZZACANO

Business Name

LISA M MAZZACANO

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2004

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005