DOUGLAS ANTHONY DEPERSIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149132

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

ANTHONY

Last Name

DEPERSIA

Business Name

DOUGLAS ANTHONY DEPERSIA

Original Issue Date

06/24/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007