JERRY D DEPA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062669

License Status

CANCELLED

Business

First Name

JERRY D

Last Name

DEPA

Business Name

JERRY D DEPA

Original Issue Date

12/13/1974

Effective Date

12/13/1974

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005