DOMINIQUE SUDDUTH - Pharmacist License in Illinois | # 049195412

DOMINIQUE SUDDUTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195412

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010