MAXWELL DAVID SLAZINIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171285

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

DAVID

Last Name

SLAZINIK

Business Name

MAXWELL DAVID SLAZINIK

Original Issue Date

09/13/2006

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014