TERESA DOMSIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070200

License Status

NOT RENEWED

Business

First Name

TERESA

Last Name

DOMSIC

Business Name

TERESA DOMSIC

Original Issue Date

10/13/1978

Effective Date

10/13/1978

Expiration Date

01/01/1997

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005