DERARTU DEJENE FITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199233

License Status

NOT RENEWED

Business

First Name

DERARTU

Middle

DEJENE

Last Name

FITE

Business Name

DERARTU DEJENE FITE

Original Issue Date

07/06/2010

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012