DEREK Q GROSS - Pharmacist License in Illinois | # 049178352

DEREK Q GROSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178352

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

Q

Last Name

GROSS

Business Name

DEREK Q GROSS

Original Issue Date

08/09/2007

Effective Date

01/13/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012