MANUEL G DOMINGUEZ JR MD - Pharmacist License in Illinois | # 049091597

MANUEL G DOMINGUEZ JR MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091597

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MANUEL

Middle

G

Last Name

DOMINGUEZ JR

Business Name

MANUEL G DOMINGUEZ JR MD

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005