DERRICK T NEELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138920

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

NEELY

Business Name

DERRICK T NEELY

Original Issue Date

10/31/2001

Effective Date

08/27/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011