LAURA PATRICIA MROZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161372

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

PATRICIA

Last Name

MROZ

Business Name

LAURA PATRICIA MROZ

Original Issue Date

05/27/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008