GWENDOLYN G DEROSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180564

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

DEROSA

Business Name

GWENDOLYN G DEROSA

Original Issue Date

11/16/2007

Effective Date

02/02/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010