DOMENICA BANUELOS - Pharmacist License in Illinois | # 049185553

DOMENICA BANUELOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185553

License Status

NOT RENEWED

Business

N

First Name

DOMENICA

Last Name

BANUELOS

Business Name

DOMENICA BANUELOS

Original Issue Date

07/15/2008

Effective Date

07/15/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009