DICK J DERKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117607

License Status

NOT RENEWED

Business

First Name

DICK

Middle

Last Name

DERKS

Business Name

DICK J DERKS

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

03/31/2004

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005