DAVID S DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172485

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

DIAZ

Business Name

DAVID S DIAZ

Original Issue Date

11/14/2006

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017