CAROL SUE DERKACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119902

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

SUE

Last Name

DERKACY

Business Name

CAROL SUE DERKACY

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/31/2004

City

ORLAND HILLS

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005