DOMINIQUE SHANTA MCDOUGAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258673

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

SHANTA

Last Name

MCDOUGAL

Business Name

DOMINIQUE SHANTA MCDOUGAL

Original Issue Date

06/29/2018

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021