VIDA R MAZZOCCO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032751

License Status

ACTIVE

Business

First Name

VIDA R

Last Name

MAZZOCCO

Business Name

VIDA R MAZZOCCO

Original Issue Date

08/07/1979

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/17/2026