MANJULA DOMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164552

License Status

NOT RENEWED

Business

First Name

MANJULA

Last Name

DOMA

Business Name

MANJULA DOMA

Original Issue Date

10/21/2005

Effective Date

04/22/2015

Expiration Date

03/31/2016

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016