DERICK LEE GROSS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298972

License Status

INACTIVE

Business

First Name

DERICK

Middle

LEE

Last Name

GROSS

Business Name

DERICK LEE GROSS

Original Issue Date

08/27/2015

Effective Date

02/26/2016

Expiration Date

03/31/2018

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2018