ERIN E DERKS - Pharmacist License in Illinois | # 049114795

ERIN E DERKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114795

License Status

NOT RENEWED

Business

N

First Name

ERIN

Middle

E

Last Name

DERKS

Business Name

ERIN E DERKS

Original Issue Date

08/03/1996

Effective Date

08/03/1996

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005