DERRICK J MATEJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174189

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

MATEJA

Business Name

DERRICK J MATEJA

Original Issue Date

02/07/2007

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012