DICK J DERKS - Pharmacist License in Illinois | # 049117607

DICK J DERKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117607

License Status

NOT RENEWED

Business

N

First Name

DICK

Middle

J

Last Name

DERKS

Business Name

DICK J DERKS

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005