JOSE L DIAZ - Pharmacist License in Illinois | # 049163989

JOSE L DIAZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163989

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

L

Last Name

DIAZ

Business Name

JOSE L DIAZ

Original Issue Date

09/19/2005

Effective Date

09/19/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006