MANUEL J DIAZ - Pharmacist License in Illinois | # 049172752

MANUEL J DIAZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172752

License Status

NOT RENEWED

Business

N

First Name

MANUEL

Middle

J

Last Name

DIAZ

Business Name

MANUEL J DIAZ

Original Issue Date

11/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009