DEBORAH ANN DOMKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162985

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ANN

Last Name

DOMKE

Business Name

DEBORAH ANN DOMKE

Original Issue Date

08/15/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007