DEREK LAROSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125944

License Status

NOT RENEWED

Business

First Name

DEREK

Last Name

LAROSA

Business Name

DEREK LAROSA

Original Issue Date

05/18/1999

Effective Date

05/18/1999

Expiration Date

03/31/2001

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005