KEVIN DANIEL DERKSON - Pharmacist License in Illinois | # 049105456

KEVIN DANIEL DERKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105456

License Status

NOT RENEWED

Business

N

First Name

KEVIN DANIEL

Last Name

DERKSON

Business Name

KEVIN DANIEL DERKSON

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005