CASIMIRO DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272629

License Status

NOT RENEWED

Business

First Name

CASIMIRO

Last Name

DIAZ

Business Name

CASIMIRO DIAZ

Original Issue Date

04/14/2020

Effective Date

04/14/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021