DOMINIC J CENTENO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115796

License Status

NOT RENEWED

Business

First Name

DOMINIC J

Last Name

CENTENO

Business Name

DOMINIC J CENTENO

Original Issue Date

11/01/1996

Effective Date

11/01/1996

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005