SANDRA MARAVILLA JIMENEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276148

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

MARAVILLA JIMENEZ

Business Name

SANDRA MARAVILLA JIMENEZ

Original Issue Date

09/28/2020

Effective Date

09/28/2020

Expiration Date

03/31/2021

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/20/2021