MIRIAM MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130013

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005