ALYSSA KATHLEEN DOMINACKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256801

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

KATHLEEN

Last Name

DOMINACKI

Business Name

ALYSSA KATHLEEN DOMINACKI

Original Issue Date

03/19/2018

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52806

County

SCOTT

Ever Disciplined

LastModifiedDate

01/08/2021