DERRICK BURGESS - Pharmacist License in Illinois | # 049055802

DERRICK BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055802

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Last Name

BURGESS

Business Name

DERRICK BURGESS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005