Raleigh E Derose
ExpiredIllinois license 049211208
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049211208
- Status
- Expired (Not Renewed)
- First issued
- May 21, 2012
- Expired
- March 31, 2014
- License holder
- Raleigh E Derose
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/04/2013
Contact
Peoria, IL 61614
Peoria County