KEVIN J DERRICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155293

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

DERRICO

Business Name

KEVIN J DERRICO

Original Issue Date

06/16/2004

Effective Date

05/21/2015

Expiration Date

03/31/2016

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016