DERRICKA D PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151994

License Status

NOT RENEWED

Business

First Name

DERRICKA

Middle

Last Name

PATRICK

Business Name

DERRICKA D PATRICK

Original Issue Date

10/31/2003

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022