PHILLIP DERUNTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186442

License Status

NOT RENEWED

Business

First Name

PHILLIP

Last Name

DERUNTZ

Business Name

PHILLIP DERUNTZ

Original Issue Date

08/20/2008

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022