PHILLIP I DOMINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164394

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

DOMINES

Business Name

PHILLIP I DOMINES

Original Issue Date

10/06/2005

Effective Date

10/06/2005

Expiration Date

03/31/2006

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006