DERRICK GREGORY KAUFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145200

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

GREGORY

Last Name

KAUFMAN

Business Name

DERRICK GREGORY KAUFMAN

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2003

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005