JADA RENEE MIMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137592

License Status

NOT RENEWED

Business

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

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005