KELLY DOMINGUEZ MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269034

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

DOMINGUEZ MEDINA

Business Name

KELLY DOMINGUEZ MEDINA

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021