MIRIAM MEDINA - Pharmacist License in Illinois | # 049130013

MIRIAM MEDINA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130013

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Last Name

MEDINA

Business Name

MIRIAM MEDINA

Original Issue Date

03/16/2000

Effective Date

03/16/2000

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005