ERIN E DERKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114795

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

DERKS

Business Name

ERIN E DERKS

Original Issue Date

08/03/1996

Effective Date

08/03/1996

Expiration Date

03/31/2004

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005