JOHN ANTHONY DEROSA JR - Pharmacist License in Illinois | # 049078869

JOHN ANTHONY DEROSA JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078869

License Status

NOT RENEWED

Business

N

First Name

JOHN ANTHONY

Last Name

DEROSA JR

Business Name

JOHN ANTHONY DEROSA JR

Original Issue Date

09/02/1983

Effective Date

09/02/1983

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005