KATHLEEN A DERR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091925

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

DERR

Business Name

KATHLEEN A DERR

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

03/31/1991

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005