DAKTARA DOMINIQUE HOLLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240648

License Status

NOT RENEWED

Business

First Name

DAKTARA

Middle

DOMINIQUE

Last Name

HOLLAND

Business Name

DAKTARA DOMINIQUE HOLLAND

Original Issue Date

03/31/2016

Effective Date

02/24/2017

Expiration Date

03/31/2018

City

EAST CHICAGO

State

Zip

46312

Ever Disciplined

LastModifiedDate

06/19/2018