ERICA PAULINE DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270367

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

PAULINE

Last Name

DIAZ

Business Name

ERICA PAULINE DIAZ

Original Issue Date

01/15/2020

Effective Date

01/15/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021