DOMINIC PAUL PALAZZOLO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030072

License Status

INACTIVE

Business

First Name

DOMINIC PAUL

Last Name

PALAZZOLO

Business Name

DOMINIC PAUL PALAZZOLO

Original Issue Date

08/02/1974

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2020