ANN MICHELLE DEROUSSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134881

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MICHELLE

Last Name

DEROUSSE

Business Name

ANN MICHELLE DEROUSSE

Original Issue Date

03/01/2001

Effective Date

03/01/2001

Expiration Date

03/31/2003

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005