DEREK A DEAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116944

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

DEAK

Business Name

DEREK A DEAK

Original Issue Date

03/27/1997

Effective Date

03/27/1997

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005