DOMINIQUE DANIELLE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196957

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

DANIELLE

Last Name

WILSON

Business Name

DOMINIQUE DANIELLE WILSON

Original Issue Date

02/24/2010

Effective Date

02/24/2010

Expiration Date

03/31/2011

City

CALUMET CITY

State

Zip

60409

Ever Disciplined

LastModifiedDate

05/12/2011