CRYSTAL DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144739

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

DOMINGUEZ

Business Name

CRYSTAL DOMINGUEZ

Original Issue Date

09/23/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007