HANS A DERRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113580

License Status

NOT RENEWED

Business

First Name

HANS A

Last Name

DERRICK

Business Name

HANS A DERRICK

Original Issue Date

03/06/1996

Effective Date

03/06/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005