DERRICK GRANADOS - Pharmacist License in Illinois | # 049126450

DERRICK GRANADOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126450

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Last Name

GRANADOS

Business Name

DERRICK GRANADOS

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005