BEVERLY ANN MIMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128870

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

ANN

Last Name

MIMS

Business Name

BEVERLY ANN MIMS

Original Issue Date

01/07/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/13/2025