DOMENICA BANUELOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185553

License Status

NOT RENEWED

Business

First Name

DOMENICA

Last Name

BANUELOS

Business Name

DOMENICA BANUELOS

Original Issue Date

07/15/2008

Effective Date

07/15/2008

Expiration Date

03/31/2009

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009