DOMINIQUE SUDDUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195412

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Last Name

SUDDUTH

Business Name

DOMINIQUE SUDDUTH

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

03/31/2010

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010