DOMINIQUE L SMITH - Pharmacist License in Illinois | # 049195025

DOMINIQUE L SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195025

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

L

Last Name

SMITH

Prefix

MR

Business Name

DOMINIQUE L SMITH

Original Issue Date

10/26/2009

Effective Date

10/26/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010