FABIAN A DIAZ - Pharmacist License in Illinois | # 049200996

FABIAN A DIAZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200996

License Status

NOT RENEWED

Business

N

First Name

FABIAN

Middle

A

Last Name

DIAZ

Business Name

FABIAN A DIAZ

Original Issue Date

10/13/2010

Effective Date

02/28/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014