ERICA DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207989

License Status

NOT RENEWED

Business

First Name

ERICA

Last Name

DIAZ

Business Name

ERICA DIAZ

Original Issue Date

11/23/2011

Effective Date

11/23/2011

Expiration Date

03/31/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012