AMANDA M HAZLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168734

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

HAZLETT

Business Name

AMANDA M HAZLETT

Original Issue Date

05/17/2006

Effective Date

01/27/2011

Expiration Date

03/31/2012

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012