EDGARDO C DAZA - Pharmacist License in Illinois | # 049065610

EDGARDO C DAZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065610

License Status

NOT RENEWED

Business

N

First Name

EDGARDO C

Last Name

DAZA

Business Name

EDGARDO C DAZA

Original Issue Date

06/25/1976

Effective Date

06/25/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005