DOMINIQUE M MCCLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231572

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

MCCLAIN

Prefix

Business Name

DOMINIQUE M MCCLAIN

Original Issue Date

03/09/2015

Effective Date

03/16/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017