TIAWANNA J MIMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232165

License Status

NOT RENEWED

Business

First Name

TIAWANNA

Middle

Last Name

MIMS

Business Name

TIAWANNA J MIMS

Original Issue Date

04/04/2015

Effective Date

02/03/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025