DIANE L DOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290771

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

DOMAS

Business Name

DIANE L DOMAS

Original Issue Date

09/02/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PLYMOUTH

State

Zip

48170

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/04/2010