NATALIE NICOLE DOMEK DPM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181691

License Status

NOT RENEWED

Business

Title

DPM

First Name

NATALIE

Middle

NICOLE

Last Name

DOMEK

Business Name

NATALIE NICOLE DOMEK DPM

Original Issue Date

01/23/2008

Effective Date

01/23/2008

Expiration Date

03/31/2009

City

ARLINGTON HEIGHTS

State

Zip

60005

Ever Disciplined

LastModifiedDate

05/06/2009