DEREK JAMES DEBOER - Pharmacist License in Indiana | # 049282293

DEREK JAMES DEBOER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282293

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

JAMES

Last Name

DEBOER

Business Name

DEREK JAMES DEBOER

Original Issue Date

05/14/2021

Effective Date

03/05/2022

Expiration Date

03/31/2023

State

IN

Ever Disciplined

N

LastModifiedDate

09/07/2023