RAFAEL DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215249

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

DIAZ

Prefix

Business Name

RAFAEL DIAZ

Original Issue Date

01/02/2013

Effective Date

02/07/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015