DENNIS H DEFENBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289796

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

DEFENBAUGH

Business Name

DENNIS H DEFENBAUGH

Original Issue Date

12/23/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

OCONOMOWOC

State

Zip

53066

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008