DERRICK DEVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172989

License Status

NOT RENEWED

Business

First Name

DERRICK

Last Name

DEVERA

Business Name

DERRICK DEVERA

Original Issue Date

12/06/2006

Effective Date

12/06/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007