PHYLLIS DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078657

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

DIAZ

Business Name

PHYLLIS DIAZ

Original Issue Date

07/20/1983

Effective Date

07/20/1983

Expiration Date

03/31/1984

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005