ANDREW PETER DEROSE - Pharmacist License in Illinois | # 049177558

ANDREW PETER DEROSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177558

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008