JERRY D DEPA - Pharmacist License in Illinois | # 049062669

JERRY D DEPA

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062669

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005