DERRICK WIERZBICKI - Pharmacist License in Indiana | # 049161123

DERRICK WIERZBICKI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161123

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Last Name

WIERZBICKI

Business Name

DERRICK WIERZBICKI

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

03/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

05/11/2006