BETULIO DAVID DOMINGUEZ - Pharmacist License in Illinois | # 049159234

BETULIO DAVID DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159234

License Status

NOT RENEWED

Business

N

First Name

BETULIO

Middle

DAVID

Last Name

DOMINGUEZ

Business Name

BETULIO DAVID DOMINGUEZ

Original Issue Date

02/14/2005

Effective Date

02/14/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2007