DEZTINEE DE LA ROCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266929

License Status

NOT RENEWED

Business

First Name

DEZTINEE

Last Name

DE LA ROCA

Business Name

DEZTINEE DE LA ROCA

Original Issue Date

07/29/2019

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

VOLO

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022