DIANA L MIMBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147058

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MIMBS

Business Name

DIANA L MIMBS

Original Issue Date

02/18/2003

Effective Date

02/18/2003

Expiration Date

03/31/2005

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005