KEVIN DANIEL DERKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105456

License Status

NOT RENEWED

Business

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

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005