BRANDON RAMON DIAZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172519

License Status

INACTIVE

Business

First Name

BRANDON

Middle

RAMON

Last Name

DIAZ

Business Name

BRANDON RAMON DIAZ

Original Issue Date

11/14/2006

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/05/2011