ROBERT G DOMEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059930

License Status

NOT RENEWED

Business

First Name

ROBERT G

Last Name

DOMEK

Business Name

ROBERT G DOMEK

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

01/01/1997

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005