DOMINIQUE R ENCARNACION - Pharmacist License in Wisconsin | # 049264118

DOMINIQUE R ENCARNACION

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264118

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

R

Last Name

ENCARNACION

Business Name

DOMINIQUE R ENCARNACION

Original Issue Date

04/05/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

WI

Ever Disciplined

N

LastModifiedDate

07/20/2021