TATIANA I. MIMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239316

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

Last Name

MIMS

Prefix

Business Name

TATIANA I. MIMS

Original Issue Date

02/02/2016

Effective Date

01/30/2017

Expiration Date

03/31/2018

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018