DOMINIQUE M CHAVEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184800

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

CHAVEZ

Business Name

DOMINIQUE M CHAVEZ

Original Issue Date

06/09/2008

Effective Date

01/04/2016

Expiration Date

03/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017