DERRICK N BURGESS - Pharmacist License in Illinois | # 049096269

DERRICK N BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096269

License Status

NOT RENEWED

Business

N

First Name

DERRICK N

Last Name

BURGESS

Business Name

DERRICK N BURGESS

Original Issue Date

03/26/1991

Effective Date

03/26/1991

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005