DOMINIQUE E KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227142

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

KIRK

Prefix

Business Name

DOMINIQUE E KIRK

Original Issue Date

08/13/2014

Effective Date

03/18/2016

Expiration Date

03/31/2017

City

MEREDOSIA

State

Zip

62665

County

MORGAN

Ever Disciplined

LastModifiedDate

05/10/2017