DERWIN D FERMAINT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077640

License Status

NOT RENEWED

Business

First Name

DERWIN D

Last Name

FERMAINT

Business Name

DERWIN D FERMAINT

Original Issue Date

01/10/1983

Effective Date

01/10/1983

Expiration Date

03/31/1984

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005