MARY CARMEN DEROSA - Pharmacist License in Tennessee | # 049129299

MARY CARMEN DEROSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129299

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

CARMEN

Last Name

DEROSA

Business Name

MARY CARMEN DEROSA

Original Issue Date

02/15/2000

Effective Date

03/15/2013

Expiration Date

03/31/2014

State

TN

Ever Disciplined

N

LastModifiedDate

05/06/2014