DOMINIQUE R COLEMAN - Pharmacist License in Illinois | # 049160771

DOMINIQUE R COLEMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160771

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

R

Last Name

COLEMAN

Business Name

DOMINIQUE R COLEMAN

Original Issue Date

05/03/2005

Effective Date

05/03/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006