JONATHAN DAVID DERISI - Pharmacist License in Illinois | # 049246485

JONATHAN DAVID DERISI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246485

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

DAVID

Last Name

DERISI

Business Name

JONATHAN DAVID DERISI

Original Issue Date

11/22/2016

Effective Date

02/26/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019