TERESA DOMSIC - Pharmacist License in Indiana | # 049070200

TERESA DOMSIC

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070200

License Status

NOT RENEWED

Business

N

First Name

TERESA

Last Name

DOMSIC

Business Name

TERESA DOMSIC

Original Issue Date

10/13/1978

Effective Date

10/13/1978

Expiration Date

01/01/1997

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005