DOMINIQUE N PULLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238946

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

PULLIAM

Prefix

Business Name

DOMINIQUE N PULLIAM

Original Issue Date

01/16/2016

Effective Date

01/16/2016

Expiration Date

03/31/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/10/2017