DAISY VIVIANA DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275542

License Status

NOT RENEWED

Business

First Name

DAISY

Middle

VIVIANA

Last Name

DOMINGUEZ

Business Name

DAISY VIVIANA DOMINGUEZ

Original Issue Date

09/08/2020

Effective Date

03/04/2021

Expiration Date

05/31/2022

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022