CONCHITA DOMINGUEZ - Pharmacist License in Missouri | # 051026812

CONCHITA DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026812

License Status

NOT RENEWED

Business

N

First Name

CONCHITA

Last Name

DOMINGUEZ

Business Name

CONCHITA DOMINGUEZ

Original Issue Date

01/01/1997

Effective Date

03/05/2014

Expiration Date

03/31/2016

State

MO

Ever Disciplined

N

LastModifiedDate

05/20/2016