ERICA PAULINE DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051304891

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

PAULINE

Last Name

DIAZ

Business Name

ERICA PAULINE DIAZ

Original Issue Date

08/23/2022

Effective Date

08/23/2022

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

02/05/2025