LAVERNE O DIDOMENICO - Pharmacist License in Illinois | # 049065004

LAVERNE O DIDOMENICO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065004

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005