DOMINIQUE W SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169521

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

SMITH

Business Name

DOMINIQUE W SMITH

Original Issue Date

06/23/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008