DANIEL CORY MAZUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193627

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

CORY

Last Name

MAZUR

Business Name

DANIEL CORY MAZUR

Original Issue Date

08/13/2009

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015