DERRICK K MARTIN - Pharmacist License in Illinois | # 049145404

DERRICK K MARTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145404

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Middle

K

Last Name

MARTIN

Business Name

DERRICK K MARTIN

Original Issue Date

10/18/2002

Effective Date

03/16/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010