DENICE JEAN DEBACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302128

License Status

INACTIVE

Business

First Name

DENICE

Middle

JEAN

Last Name

DEBACK

Business Name

DENICE JEAN DEBACK

Original Issue Date

06/20/2019

Effective Date

03/10/2022

Expiration Date

03/31/2024

City

MUSKEGO

State

Zip

53150

Ever Disciplined

LastModifiedDate

01/04/2024