DOMINIQUE W SMITH - Pharmacist License in Illinois | # 049169521

DOMINIQUE W SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169521

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

W

Last Name

SMITH

Business Name

DOMINIQUE W SMITH

Original Issue Date

06/23/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008