TIMOTHY JOHN DEROSE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300359

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

JOHN

Last Name

DEROSE

Business Name

TIMOTHY JOHN DEROSE

Original Issue Date

07/06/2017

Effective Date

03/01/2026

Expiration Date

03/31/2028

City

WESTFIELD

State

Zip

46074

Ever Disciplined

LastModifiedDate

03/01/2026