DOMINIQUE A IVORY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188650

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

IVORY

Business Name

DOMINIQUE A IVORY

Original Issue Date

12/11/2008

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010