DIANA M DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208472

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

DOMINGUEZ

Business Name

DIANA M DOMINGUEZ

Original Issue Date

12/28/2011

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014