JENNIFER L DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137733

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

DOMINGUEZ

Business Name

JENNIFER L DOMINGUEZ

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

03/31/2002

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005