BORIS R DOMINIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027193

License Status

INACTIVE

Business

First Name

BORIS R

Last Name

DOMINIS

Business Name

BORIS R DOMINIS

Original Issue Date

01/01/1997

Effective Date

03/13/2008

Expiration Date

03/31/2010

City

BRADENTON

State

Zip

34207

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/05/2010