VALERIE A DEBARTOLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158371

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

DEBARTOLO

Business Name

VALERIE A DEBARTOLO

Original Issue Date

12/15/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007