DEREK S BOWLING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145619

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

BOWLING

Business Name

DEREK S BOWLING

Original Issue Date

11/04/2002

Effective Date

11/04/2002

Expiration Date

03/31/2003

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/20/2005