ROSA M DIAZ - Pharmacist License in Illinois | # 049144660

ROSA M DIAZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144660

License Status

NOT RENEWED

Business

N

First Name

ROSA

Middle

M

Last Name

DIAZ

Business Name

ROSA M DIAZ

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005