WANDA LYNN DERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132422

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

LYNN

Last Name

DERRY

Business Name

WANDA LYNN DERRY

Original Issue Date

08/30/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008