DIANNE LESLIE DOFELMIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116243

License Status

NOT RENEWED

Business

First Name

DIANNE LESLIE

Last Name

DOFELMIER

Business Name

DIANNE LESLIE DOFELMIER

Original Issue Date

12/28/1996

Effective Date

12/28/1996

Expiration Date

03/31/2002

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005