DOMINIQUE N BOWMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144580

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

BOWMAN

Business Name

DOMINIQUE N BOWMAN

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005