Pharmacist
PHARMACY TECHNICIAN
049286309
NOT RENEWED
N
ANTONIO
SALAZAR
ANTONIO SALAZAR
10/14/2021
05/10/2022
03/31/2023
PEORIA
IL
61614
PEORIA
Y
01/04/2024
2023004388
Refuse To Renew
12/26/2023
pharmacy technician license placed in refuse to renew status due to diversion.