MIMI K SONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115936

License Status

NOT RENEWED

Business

First Name

MIMI K

Last Name

SONG

Business Name

MIMI K SONG

Original Issue Date

11/13/1996

Effective Date

11/13/1996

Expiration Date

03/31/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005