License holder summary

LISA MARIE MAZZACANO is a Pharmacy Intern licensed to practice in Indiana. The address on file for LISA MARIE MAZZACANO is Geneva IL 60134. This licensed professional license is not current. The license was granted 12/07/2000 and expired on 05/01/2004.

Indiana

Professional Licensing Agency

LISA MARIE MAZZACANO
Pharmacy Intern
License number
45012311A
Date granted
12/07/2000
Date expires
05/01/2004
Class
Pharmacy Intern
Status
Expired
Address
Geneva IL 60134
indianalicensing.org
ID 8304065
LAST UPDATED 2026-04-20 05:04:50 UTC

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