LYDIA LYNNE DEROUSSE - Pharmacist License in Illinois | # 049265672

LYDIA LYNNE DEROUSSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265672

License Status

NOT RENEWED

Business

N

First Name

LYDIA

Middle

LYNNE

Last Name

DEROUSSE

Business Name

LYDIA LYNNE DEROUSSE

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021