KIMBRA LEE MAZULIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172004

License Status

NOT RENEWED

Business

First Name

KIMBRA

Middle

LEE

Last Name

MAZULIS

Business Name

KIMBRA LEE MAZULIS

Original Issue Date

10/24/2006

Effective Date

01/18/2012

Expiration Date

03/31/2013

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013