LAURA ANN DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287662

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

DIAZ

Business Name

LAURA ANN DIAZ

Original Issue Date

11/05/2021

Effective Date

05/12/2022

Expiration Date

03/31/2023

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023