DEREK M MASSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141328

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

MASSEY

Business Name

DEREK M MASSEY

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006