DANA MARIE DECUFFA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204445

License Status

NOT RENEWED

Business

Title

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

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/07/2012