DEREK JANSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142864

License Status

NOT RENEWED

Business

First Name

DEREK

Last Name

JANSSEN

Business Name

DEREK JANSSEN

Original Issue Date

06/03/2002

Effective Date

03/22/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014