DERRICK DWAYNE BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075138

License Status

NOT RENEWED

Business

First Name

DERRICK DWAYNE

Last Name

BULLOCK

Business Name

DERRICK DWAYNE BULLOCK

Original Issue Date

08/17/1981

Effective Date

08/17/1981

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005