EDWARD DEREK MOTHERSHED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125594

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

DEREK

Last Name

MOTHERSHED

Business Name

EDWARD DEREK MOTHERSHED

Original Issue Date

04/23/1999

Effective Date

04/23/1999

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005