DEBBIE LYNN DETTLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162391

License Status

NOT RENEWED

Business

First Name

DEBBIE

Middle

LYNN

Last Name

DETTLOFF

Business Name

DEBBIE LYNN DETTLOFF

Original Issue Date

07/21/2005

Effective Date

07/13/2009

Expiration Date

03/31/2010

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010