DAVID A DEPORTE - Pharmacist License in Illinois | # 049093412

DAVID A DEPORTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093412

License Status

NOT RENEWED

Business

N

First Name

DAVID A

Last Name

DEPORTE

Business Name

DAVID A DEPORTE

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005