MICHAEL JOSEPH DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184426

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

DOMINGUEZ

Business Name

MICHAEL JOSEPH DOMINGUEZ

Original Issue Date

05/21/2008

Effective Date

01/21/2009

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010