DEBRA I DALLEFELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083318

License Status

NOT RENEWED

Business

First Name

DEBRA I

Last Name

DALLEFELD

Business Name

DEBRA I DALLEFELD

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

03/31/2001

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005