MICHAEL L DEROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176258

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DEROSE

Business Name

MICHAEL L DEROSE

Original Issue Date

05/10/2007

Effective Date

01/25/2011

Expiration Date

03/31/2012

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012