ELLIOTT ISRAEL DERAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312674

License Status

NOT RENEWED

Business

First Name

ELLIOTT

Middle

ISRAEL

Last Name

DERAT

Business Name

ELLIOTT ISRAEL DERAT

Original Issue Date

05/30/2024

Effective Date

05/30/2024

Expiration Date

03/31/2025

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025