DOMINIQUE NOEL DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267835

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

NOEL

Last Name

DOUGLAS

Business Name

DOMINIQUE NOEL DOUGLAS

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021