DERRICK J MOLNICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062965

License Status

NOT RENEWED

Business

First Name

DERRICK J

Last Name

MOLNICK

Business Name

DERRICK J MOLNICK

Original Issue Date

02/14/1975

Effective Date

02/14/1975

Expiration Date

01/01/1997

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005