DANA MARIE DERRICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148038

License Status

NOT RENEWED

Business

First Name

DANA

Middle

MARIE

Last Name

DERRICO

Business Name

DANA MARIE DERRICO

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2004

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005