MICHELLE A DOMIN - Pharmacist License in Illinois | # 049171802

MICHELLE A DOMIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171802

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

A

Last Name

DOMIN

Business Name

MICHELLE A DOMIN

Original Issue Date

10/05/2006

Effective Date

10/05/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007