ANTHONY F DEROSE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020487

License Status

INACTIVE

Business

First Name

ANTHONY F

Last Name

DEROSE

Business Name

ANTHONY F DEROSE

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005