GUSTAVO DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228479

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Last Name

DIAZ

Prefix

Business Name

GUSTAVO DIAZ

Original Issue Date

10/13/2014

Effective Date

10/13/2014

Expiration Date

03/31/2015

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015