JEANETTE DOMINGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169553

License Status

NOT RENEWED

Business

First Name

JEANETTE

Last Name

DOMINGUE

Business Name

JEANETTE DOMINGUE

Original Issue Date

06/23/2006

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

RAYNE

State

Zip

70578

County

LOUISIANA

Ever Disciplined

LastModifiedDate

05/04/2010