MITZY ROSITA JIMENEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286304

License Status

NOT RENEWED

Business

First Name

MITZY

Middle

ROSITA

Last Name

JIMENEZ

Business Name

MITZY ROSITA JIMENEZ

Original Issue Date

10/14/2021

Effective Date

05/25/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023