LAURA VAN DOMMELEN - Pharmacist License in Illinois | # 049128084

LAURA VAN DOMMELEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128084

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005