EBONY MONIQUE HINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165113

License Status

NOT RENEWED

Business

First Name

EBONY

Middle

MONIQUE

Last Name

HINES

Business Name

EBONY MONIQUE HINES

Original Issue Date

11/21/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007