DIANA M DOMINGUEZ - Pharmacist License in Illinois | # 049208472

DIANA M DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208472

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

M

Last Name

DOMINGUEZ

Business Name

DIANA M DOMINGUEZ

Original Issue Date

12/28/2011

Effective Date

02/25/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014