MYRNA LEE DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126172

License Status

NOT RENEWED

Business

First Name

MYRNA

Middle

LEE

Last Name

DIAZ

Business Name

MYRNA LEE DIAZ

Original Issue Date

06/03/1999

Effective Date

06/03/1999

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005