JOHN ANTHONY DEROSA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078869

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60633

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005