DERICK LEE GROSS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235217

License Status

CANCELLED

Business

First Name

DERICK

Middle

LEE

Last Name

GROSS

Business Name

DERICK LEE GROSS

Original Issue Date

08/04/2015

Effective Date

08/04/2015

Expiration Date

03/31/2016

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2015