DERRICK JOHN BLIZNICK - Pharmacist License in Illinois | # 049173043

DERRICK JOHN BLIZNICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173043

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Middle

JOHN

Last Name

BLIZNICK

Business Name

DERRICK JOHN BLIZNICK

Original Issue Date

12/08/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008