DOMINIQUE L GAITER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249432

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

GAITER

Business Name

DOMINIQUE L GAITER

Original Issue Date

03/28/2017

Effective Date

08/07/2018

Expiration Date

03/31/2019

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019