MIAISHA ENJOLI EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153508

License Status

NOT RENEWED

Business

First Name

MIAISHA

Middle

ENJOLI

Last Name

EVANS

Business Name

MIAISHA ENJOLI EVANS

Original Issue Date

03/09/2004

Effective Date

12/10/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013