DEBORAH ANN DECASTRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158696

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ANN

Last Name

DECASTRIS

Business Name

DEBORAH ANN DECASTRIS

Original Issue Date

12/30/2004

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012