JAZQUELYN IRENE BELENZON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158994

License Status

NOT RENEWED

Business

First Name

JAZQUELYN

Middle

IRENE

Last Name

BELENZON

Business Name

JAZQUELYN IRENE BELENZON

Original Issue Date

02/01/2005

Effective Date

02/01/2005

Expiration Date

03/31/2006

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006