DERRICK L BURGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091608

License Status

NOT RENEWED

Business

First Name

DERRICK L

Last Name

BURGER

Business Name

DERRICK L BURGER

Original Issue Date

11/08/1989

Effective Date

11/08/1989

Expiration Date

03/31/1994

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005