DIANA ROSE DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267166

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

ROSE

Last Name

DOMINGUEZ

Business Name

DIANA ROSE DOMINGUEZ

Original Issue Date

08/06/2019

Effective Date

08/06/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021