DERICK D CUMMINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156063

License Status

NOT RENEWED

Business

First Name

DERICK

Middle

Last Name

CUMMINS

Business Name

DERICK D CUMMINS

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

03/31/2005

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/20/2005