DAEVRISSA S JIMENEZ - Pharmacist License in Illinois | # 049115808

DAEVRISSA S JIMENEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115808

License Status

NOT RENEWED

Business

N

First Name

DAEVRISSA S

Last Name

JIMENEZ

Business Name

DAEVRISSA S JIMENEZ

Original Issue Date

11/02/1996

Effective Date

11/02/1996

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005