DOMINIQUE R CRENSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175533

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

CRENSHAW

Business Name

DOMINIQUE R CRENSHAW

Original Issue Date

04/12/2007

Effective Date

02/23/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011