CARLA L BAZHENOW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185387

License Status

INACTIVE

Business

First Name

CARLA L

Last Name

BAZHENOW

Business Name

CARLA L BAZHENOW

Original Issue Date

07/09/2008

Effective Date

05/04/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/12/2010