DOMINIQUE J JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145587

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

JOHNSON

Business Name

DOMINIQUE J JOHNSON

Original Issue Date

10/29/2002

Effective Date

10/29/2002

Expiration Date

03/31/2003

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2018