WAYNE DONALD DERSCH - Pharmacist License in Illinois | # 049139526

WAYNE DONALD DERSCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139526

License Status

NOT RENEWED

Business

N

First Name

WAYNE

Middle

DONALD

Last Name

DERSCH

Business Name

WAYNE DONALD DERSCH

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005