MICHAEL S HEGAZIN DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212236

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

HEGAZIN

Prefix

Business Name

MICHAEL S HEGAZIN DO

Original Issue Date

07/17/2012

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014