MICHAEL J DERGANCE - Pharmacist License in Illinois | # 049191289

MICHAEL J DERGANCE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191289

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

J

Last Name

DERGANCE

Business Name

MICHAEL J DERGANCE

Original Issue Date

04/24/2009

Effective Date

01/31/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012