DEREK A BAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161419

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

BAILEY

Business Name

DEREK A BAILEY

Original Issue Date

06/01/2005

Effective Date

03/20/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014