JEANNE T DEKONINCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032652

License Status

NOT RENEWED

Business

First Name

JEANNE T

Last Name

DEKONINCK

Business Name

JEANNE T DEKONINCK

Original Issue Date

05/14/1979

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

GLENWOOD SPRINGS

State

Zip

81601

County

COLORADO

Ever Disciplined

LastModifiedDate

05/11/2006