MARILYN C DEROSA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024292

License Status

INACTIVE

Business

First Name

MARILYN C

Last Name

DEROSA

Business Name

MARILYN C DEROSA

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005