MICHAELENE B DOMIN - Pharmacist License in Illinois | # 049141031

MICHAELENE B DOMIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141031

License Status

NOT RENEWED

Business

N

First Name

MICHAELENE

Middle

B

Last Name

DOMIN

Business Name

MICHAELENE B DOMIN

Original Issue Date

02/26/2002

Effective Date

02/26/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005