ANNETTA LYNN DEROCCHI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065128

License Status

NOT RENEWED

Business

First Name

ANNETTA LYNN

Last Name

DEROCCHI

Business Name

ANNETTA LYNN DEROCCHI

Original Issue Date

04/09/1976

Effective Date

04/09/1976

Expiration Date

01/01/1997

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005