REGINA JANNETT DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212484

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

JANNETT

Last Name

DOMINGUEZ

Business Name

REGINA JANNETT DOMINGUEZ

Original Issue Date

07/27/2012

Effective Date

02/04/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017