CARLA P DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103086

License Status

NOT RENEWED

Business

First Name

CARLA P

Last Name

DOMINGUEZ

Business Name

CARLA P DOMINGUEZ

Original Issue Date

04/12/1993

Effective Date

04/12/1993

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005