FABIAN A DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200996

License Status

NOT RENEWED

Business

First Name

FABIAN

Middle

Last Name

DIAZ

Business Name

FABIAN A DIAZ

Original Issue Date

10/13/2010

Effective Date

02/28/2013

Expiration Date

03/31/2014

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014