MICHAEL L DEROSE - Pharmacist License in Illinois | # 049176258

MICHAEL L DEROSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176258

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

L

Last Name

DEROSE

Business Name

MICHAEL L DEROSE

Original Issue Date

05/10/2007

Effective Date

01/25/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012