KEVIN J DERRICO - Pharmacist License in Illinois | # 049155293

KEVIN J DERRICO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155293

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

J

Last Name

DERRICO

Business Name

KEVIN J DERRICO

Original Issue Date

06/16/2004

Effective Date

05/21/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016