JACLYN NICOLE BIMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161443

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

NICOLE

Last Name

BIMA

Business Name

JACLYN NICOLE BIMA

Original Issue Date

06/02/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MC NABB

State

Zip

61335

County

PUTNAM

Ever Disciplined

LastModifiedDate

05/14/2007