BREANNA L DOMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177347

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

Last Name

DOMAN

Business Name

BREANNA L DOMAN

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

03/31/2008

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008