DOMINIQUE R ENCARNACION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264118

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

ENCARNACION

Business Name

DOMINIQUE R ENCARNACION

Original Issue Date

04/05/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

KENOSHA

State

Zip

53140

Ever Disciplined

LastModifiedDate

07/20/2021