CONCHITA DOMINGUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026812

License Status

NOT RENEWED

Business

First Name

CONCHITA

Last Name

DOMINGUEZ

Business Name

CONCHITA DOMINGUEZ

Original Issue Date

01/01/1997

Effective Date

03/05/2014

Expiration Date

03/31/2016

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/20/2016