DENNIS LEE LAFOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146743

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

LEE

Last Name

LAFOON

Business Name

DENNIS LEE LAFOON

Original Issue Date

01/14/2003

Effective Date

01/14/2003

Expiration Date

03/31/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005