ALICIA L DETHLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217286

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

DETHLOFF

Business Name

ALICIA L DETHLOFF

Original Issue Date

04/10/2013

Effective Date

04/10/2013

Expiration Date

03/31/2014

City

MUSKEGO

State

Zip

53150

Ever Disciplined

LastModifiedDate

05/06/2014