DEREK THOMAS PRICE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135353

License Status

INACTIVE

Business

First Name

DEREK

Middle

THOMAS

Last Name

PRICE

Business Name

DEREK THOMAS PRICE

Original Issue Date

03/21/2001

Effective Date

02/26/2013

Expiration Date

03/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/09/2014