DOMINIQUE BURKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239020

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Last Name

BURKS

Business Name

DOMINIQUE BURKS

Original Issue Date

01/21/2016

Effective Date

01/21/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017