MANUEL F DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063290

License Status

NOT RENEWED

Business

First Name

MANUEL F

Last Name

DIAZ

Business Name

MANUEL F DIAZ

Original Issue Date

04/18/1975

Effective Date

04/18/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005