EDWARD MAXIMINO MIRANDA - Pharmacist License in Illinois | # 049123034

EDWARD MAXIMINO MIRANDA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123034

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

MAXIMINO

Last Name

MIRANDA

Business Name

EDWARD MAXIMINO MIRANDA

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005