JACK JOSEPH LAZZARA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032153

License Status

NOT RENEWED

Business

First Name

JACK JOSEPH

Last Name

LAZZARA

Business Name

JACK JOSEPH LAZZARA

Original Issue Date

08/17/1978

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016