NICHOLLETTE MAZUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255538

License Status

NOT RENEWED

Business

First Name

NICHOLLETTE

Last Name

MAZUR

Business Name

NICHOLLETTE MAZUR

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/15/2019