DERRICHEARD D DEVANCE - Pharmacist License in Indiana | # 049123438

DERRICHEARD D DEVANCE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123438

License Status

NOT RENEWED

Business

N

First Name

DERRICHEARD

Middle

D

Last Name

DEVANCE

Business Name

DERRICHEARD D DEVANCE

Original Issue Date

10/26/1998

Effective Date

10/26/1998

Expiration Date

03/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

12/06/2005