JONATHAN DAVID DERISI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246485

License Status

NOT RENEWED

Business

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

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019