RALEIGH E DEROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211208

License Status

NOT RENEWED

Business

First Name

RALEIGH

Middle

Last Name

DEROSE

Prefix

Business Name

RALEIGH E DEROSE

Original Issue Date

05/21/2012

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014