VIVIAN B DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221658

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

DIAZ

Prefix

Business Name

VIVIAN B DIAZ

Original Issue Date

10/29/2013

Effective Date

10/29/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014