JOSE R DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159242

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

DIAZ

Business Name

JOSE R DIAZ

Original Issue Date

02/15/2005

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018