FERNANDA K VALLADARES DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229608

License Status

NOT RENEWED

Business

First Name

FERNANDA

Middle

Last Name

VALLADARES DIAZ

Business Name

FERNANDA K VALLADARES DIAZ

Original Issue Date

11/28/2014

Effective Date

11/28/2014

Expiration Date

03/31/2015

City

ELMHURST

State

Zip

60126

Ever Disciplined

LastModifiedDate

05/11/2015