MICHAEL A DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201390

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DIAZ

Business Name

MICHAEL A DIAZ

Original Issue Date

11/04/2010

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012