MANUEL JIMENEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207370

License Status

NOT RENEWED

Business

First Name

MANUEL

Last Name

JIMENEZ

Prefix

Business Name

MANUEL JIMENEZ

Original Issue Date

10/19/2011

Effective Date

10/19/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012