CLARISSA E DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221472

License Status

NOT RENEWED

Business

First Name

CLARISSA

Middle

Last Name

DIAZ

Business Name

CLARISSA E DIAZ

Original Issue Date

10/16/2013

Effective Date

01/28/2015

Expiration Date

03/31/2016

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016