KRISTAL ELIZABETH DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276028

License Status

NOT RENEWED

Business

First Name

KRISTAL

Middle

ELIZABETH

Last Name

DIAZ

Business Name

KRISTAL ELIZABETH DIAZ

Original Issue Date

09/22/2020

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022