MICHAEL LEWIS DOMAN - Pharmacist License in Illinois | # 049103438

MICHAEL LEWIS DOMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103438

License Status

NOT RENEWED

Business

N

First Name

MICHAEL LEWIS

Last Name

DOMAN

Business Name

MICHAEL LEWIS DOMAN

Original Issue Date

05/15/1993

Effective Date

05/15/1993

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005