DOMINIQUE S DORRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289823

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

DORRIS

Business Name

DOMINIQUE S DORRIS

Original Issue Date

01/21/2022

Effective Date

01/21/2022

Expiration Date

03/31/2023

City

CHAMPAIGN

State

Zip

61821

Ever Disciplined

LastModifiedDate

09/07/2023