CASSIDY LOUISE DOMAGALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154683

License Status

NOT RENEWED

Business

First Name

CASSIDY

Middle

LOUISE

Last Name

DOMAGALLA

Business Name

CASSIDY LOUISE DOMAGALLA

Original Issue Date

05/28/2004

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

05/04/2010