ANGELISE M DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264844

License Status

NOT RENEWED

Business

First Name

ANGELISE

Middle

Last Name

DIAZ

Business Name

ANGELISE M DIAZ

Original Issue Date

04/24/2019

Effective Date

04/24/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021