JAMIE L DERRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142544

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

DERRICK

Business Name

JAMIE L DERRICK

Original Issue Date

05/22/2002

Effective Date

05/22/2002

Expiration Date

03/31/2005

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

10/20/2005