DOMINIQUE L SCOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238565

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

SCOTT

Business Name

DOMINIQUE L SCOTT

Original Issue Date

12/30/2015

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017