JADA RENEE MIMS - Pharmacist License in Illinois | # 049137592

JADA RENEE MIMS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137592

License Status

NOT RENEWED

Business

N

First Name

JADA

Middle

RENEE

Last Name

MIMS

Business Name

JADA RENEE MIMS

Original Issue Date

08/08/2001

Effective Date

08/08/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005