AMANCIO D DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098405

License Status

NOT RENEWED

Business

First Name

AMANCIO D

Last Name

DIAZ

Business Name

AMANCIO D DIAZ

Original Issue Date

10/17/1991

Effective Date

10/17/1991

Expiration Date

03/31/1994

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005