ANDREW PETER DEROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177558

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

PETER

Last Name

DEROSE

Business Name

ANDREW PETER DEROSE

Original Issue Date

07/03/2007

Effective Date

07/03/2007

Expiration Date

03/31/2008

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008