DANA MARIE DECUFFA MD - Pharmacist License in Illinois | # 049204445

DANA MARIE DECUFFA MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204445

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DANA

Middle

MARIE

Last Name

DECUFFA

Business Name

DANA MARIE DECUFFA MD

Original Issue Date

05/26/2011

Effective Date

05/26/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012