DAVID R DEJESUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116609

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

DEJESUS

Business Name

DAVID R DEJESUS

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

03/31/2000

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005