DIANA ROSE DOMINGUEZ - Pharmacist License in Illinois | # 049267166

DIANA ROSE DOMINGUEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267166

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021