DERRICK K MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145404

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

MARTIN

Business Name

DERRICK K MARTIN

Original Issue Date

10/18/2002

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010