ALFONSO DIAZ JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255579

License Status

NOT RENEWED

Business

First Name

ALFONSO

Last Name

DIAZ

Suffix

Business Name

ALFONSO DIAZ JR

Original Issue Date

01/17/2018

Effective Date

01/17/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019