PHILLIP R LAZZARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162086

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

LAZZARA

Business Name

PHILLIP R LAZZARA

Original Issue Date

07/06/2005

Effective Date

02/19/2010

Expiration Date

03/31/2011

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011