DERICK R DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102941

License Status

NOT RENEWED

Business

First Name

DERICK R

Last Name

DOUGLAS

Business Name

DERICK R DOUGLAS

Original Issue Date

04/01/1993

Effective Date

04/01/1993

Expiration Date

03/31/1996

City

MASON CITY

State

Zip

62664

County

MASON

Ever Disciplined

LastModifiedDate

10/17/2005