CARL P DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125674

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

DOMINGUEZ

Business Name

CARL P DOMINGUEZ

Original Issue Date

04/29/1999

Effective Date

04/29/1999

Expiration Date

03/31/2005

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005