SALLY L DOMAGALLA - Pharmacist License in Illinois | # 049154073

SALLY L DOMAGALLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154073

License Status

NOT RENEWED

Business

N

First Name

SALLY

Middle

L

Last Name

DOMAGALLA

Business Name

SALLY L DOMAGALLA

Original Issue Date

04/15/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007