ROSA M DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144660

License Status

NOT RENEWED

Business

First Name

ROSA

Middle

Last Name

DIAZ

Business Name

ROSA M DIAZ

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005