ROBERTO OMAR GAYTAN DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245968

License Status

NOT RENEWED

Business

First Name

ROBERTO OMAR

Last Name

GAYTAN DIAZ

Business Name

ROBERTO OMAR GAYTAN DIAZ

Original Issue Date

10/31/2016

Effective Date

10/31/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017