TIFFANY L DIAZ - Pharmacist License in Illinois | # 049180266

TIFFANY L DIAZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180266

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

L

Last Name

DIAZ

Business Name

TIFFANY L DIAZ

Original Issue Date

10/30/2007

Effective Date

02/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010