SHANNON LYN MAZZARISI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167556

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LYN

Last Name

MAZZARISI

Business Name

SHANNON LYN MAZZARISI

Original Issue Date

04/10/2006

Effective Date

04/10/2006

Expiration Date

03/31/2007

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/14/2007