JACOB DIAZ DPM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239404

License Status

NOT RENEWED

Business

Title

DPM

First Name

JACOB

Last Name

DIAZ

Prefix

Business Name

JACOB DIAZ DPM

Original Issue Date

02/06/2016

Effective Date

02/06/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023