DAVID DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168260

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

DOMINGUEZ

Business Name

DAVID DOMINGUEZ

Original Issue Date

04/27/2006

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

BERWYN IL

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012