SALLY L DOMAGALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154073

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

DOMAGALLA

Business Name

SALLY L DOMAGALLA

Original Issue Date

04/15/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007