DOMINIQUE L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195025

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

SMITH

Prefix

Business Name

DOMINIQUE L SMITH

Original Issue Date

10/26/2009

Effective Date

10/26/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010