DANA A DOMKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158682

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

DOMKO

Business Name

DANA A DOMKO

Original Issue Date

12/30/2004

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015