DOMINIQUE D LANDFAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183670

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

LANDFAIR

Prefix

Business Name

DOMINIQUE D LANDFAIR

Original Issue Date

04/18/2008

Effective Date

04/18/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009