MARY L DEFAZIO - Pharmacist License in Illinois | # 049264256

MARY L DEFAZIO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264256

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

L

Last Name

DEFAZIO

Business Name

MARY L DEFAZIO

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021