AGNES DOMINIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083026

License Status

NOT RENEWED

Business

First Name

AGNES

Last Name

DOMINIC

Business Name

AGNES DOMINIC

Original Issue Date

07/16/1986

Effective Date

02/19/2016

Expiration Date

03/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017