JUSTIN DERRY MORGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125971

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

DERRY

Last Name

MORGAN

Business Name

JUSTIN DERRY MORGAN

Original Issue Date

05/20/1999

Effective Date

05/20/1999

Expiration Date

03/31/2002

City

GLENARM

State

Zip

62536

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005