JACOB DIAZ DPM - Pharmacist License in Illinois | # 049239404

JACOB DIAZ DPM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239404

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

JACOB

Last Name

DIAZ

Prefix

MR

Business Name

JACOB DIAZ DPM

Original Issue Date

02/06/2016

Effective Date

02/06/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2023