DERRICK DAVID STINSON - Pharmacist License in Illinois | # 049082355

DERRICK DAVID STINSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082355

License Status

NOT RENEWED

Business

N

First Name

DERRICK DAVID

Last Name

STINSON

Business Name

DERRICK DAVID STINSON

Original Issue Date

04/04/1986

Effective Date

04/04/1986

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005