DIANE L DOMAS - Pharmacist License in Michigan | # 051290771

DIANE L DOMAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290771

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

L

Last Name

DOMAS

Business Name

DIANE L DOMAS

Original Issue Date

09/02/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

MI

Ever Disciplined

N

LastModifiedDate

05/04/2010