Dominque Latrice Moore
ExpiredIllinois license 049261375
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049261375
- Status
- Expired (Not Renewed)
- First issued
- November 27, 2018
- Expired
- September 30, 2020
- License holder
- Dominque Latrice Moore
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/20/2019
Contact
Valparaiso, IN 46385