DENISE A BIELEFELDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074095

License Status

NOT RENEWED

Business

First Name

DENISE A

Last Name

BIELEFELDT

Business Name

DENISE A BIELEFELDT

Original Issue Date

01/20/1981

Effective Date

01/20/1981

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005