ADELAIDA DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151413

License Status

NOT RENEWED

Business

First Name

ADELAIDA

Last Name

DIAZ

Business Name

ADELAIDA DIAZ

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005