BASILISA A DERAMOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079208

License Status

NOT RENEWED

Business

First Name

BASILISA A

Last Name

DERAMOS

Business Name

BASILISA A DERAMOS

Original Issue Date

11/18/1983

Effective Date

11/18/1983

Expiration Date

03/31/1984

City

STREAMWOOD

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005