DOMINIQUE D HINES - Pharmacist License in Illinois | # 049184165

DOMINIQUE D HINES

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184165

License Status

INACTIVE

Business

N

First Name

DOMINIQUE

Middle

D

Last Name

HINES

Business Name

DOMINIQUE D HINES

Original Issue Date

05/08/2008

Effective Date

03/26/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2010