MANUEL G DOMINGUEZ JR MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091597

License Status

NOT RENEWED

Business

Title

First Name

MANUEL

Middle

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

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005