AMANDA R DERRICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155695

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

DERRICO

Business Name

AMANDA R DERRICO

Original Issue Date

06/24/2004

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014