JONATHAN LAT DOMINGO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127547

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

LAT

Last Name

DOMINGO

Business Name

JONATHAN LAT DOMINGO

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

03/31/2000

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005