DAEVRISSA S JIMENEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115808

License Status

NOT RENEWED

Business

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

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005