JAZZ G LARDIZABAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268238

License Status

NOT RENEWED

Business

First Name

JAZZ

Middle

Last Name

LARDIZABAL

Business Name

JAZZ G LARDIZABAL

Original Issue Date

10/03/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021