DOMINIQUE RENATA MATCHEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303910

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

RENATA

Last Name

MATCHEM

Business Name

DOMINIQUE RENATA MATCHEM

Original Issue Date

07/08/2023

Effective Date

07/08/2023

Expiration Date

03/31/2024

City

HAMMOND

State

Zip

46324

Ever Disciplined

LastModifiedDate

01/03/2025