CARLOS OMAR JIMENEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156702

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005