JONATHAN LAT DOMINGO - Pharmacist License in Illinois | # 049127547

JONATHAN LAT DOMINGO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127547

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005