LAVERNE O DIDOMENICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065004

License Status

NOT RENEWED

Business

First Name

LAVERNE O

Last Name

DIDOMENICO

Business Name

LAVERNE O DIDOMENICO

Original Issue Date

03/12/1976

Effective Date

03/12/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005