DOMINIQUE L GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186637

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

GRANT

Business Name

DOMINIQUE L GRANT

Original Issue Date

08/27/2008

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011