DEREK COBURN SCOTT CAZARES TAPIA - Pharmacist License in Illinois | # 049312755

DEREK COBURN SCOTT CAZARES TAPIA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312755

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

COBURN SCOTT

Last Name

CAZARES TAPIA

Business Name

DEREK COBURN SCOTT CAZARES TAPIA

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

08/08/2025