DERRICK R ANANDAPPA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165920

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

ANANDAPPA

Business Name

DERRICK R ANANDAPPA

Original Issue Date

01/04/2006

Effective Date

01/04/2006

Expiration Date

03/31/2007

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007