DOMINIQUE NICOLE LAURENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142873

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

NICOLE

Last Name

LAURENT

Business Name

DOMINIQUE NICOLE LAURENT

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005