NADIENNE A DEROSENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133622

License Status

NOT RENEWED

Business

First Name

NADIENNE

Middle

Last Name

DEROSENA

Business Name

NADIENNE A DEROSENA

Original Issue Date

11/15/2000

Effective Date

03/23/2018

Expiration Date

03/31/2019

City

AURORA

State

Zip

60503

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2019