VIVIAN M DERICK - Pharmacist License in Ohio | # 051035597

VIVIAN M DERICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035597

License Status

NOT RENEWED

Business

N

First Name

VIVIAN M

Last Name

DERICK

Business Name

VIVIAN M DERICK

Original Issue Date

12/13/1984

Effective Date

12/13/1984

Expiration Date

03/31/1992

State

OH

Ever Disciplined

N

LastModifiedDate

10/17/2005