LAURA VAN DOMMELEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128084

License Status

NOT RENEWED

Business

First Name

LAURA

Last Name

VAN DOMMELEN

Business Name

LAURA VAN DOMMELEN

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

03/31/2002

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005