DERRICK A LUNDQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113696

License Status

NOT RENEWED

Business

First Name

DERRICK A

Last Name

LUNDQUIST

Business Name

DERRICK A LUNDQUIST

Original Issue Date

03/19/1996

Effective Date

03/19/1996

Expiration Date

03/31/1999

City

ELMHURST

State

Zip

60126

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005