CARLOS OMAR JIMENEZ - Pharmacist License in Illinois | # 049156702

CARLOS OMAR JIMENEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156702

License Status

NOT RENEWED

Business

N

First Name

CARLOS

Middle

OMAR

Last Name

JIMENEZ

Business Name

CARLOS OMAR JIMENEZ

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005