DEREK K DEKERLEGAND - Pharmacist License in Indiana | # 049198392

DEREK K DEKERLEGAND

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198392

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

K

Last Name

DEKERLEGAND

Prefix

MR

Business Name

DEREK K DEKERLEGAND

Original Issue Date

05/16/2010

Effective Date

02/01/2011

Expiration Date

03/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

05/07/2012