DOMENIQUE MARIE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178866

License Status

NOT RENEWED

Business

First Name

DOMENIQUE

Middle

MARIE

Last Name

JOHNSON

Business Name

DOMENIQUE MARIE JOHNSON

Original Issue Date

08/30/2007

Effective Date

02/02/2012

Expiration Date

03/31/2013

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013