NIKOLAY M DERVICHEV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175424

License Status

NOT RENEWED

Business

First Name

NIKOLAY

Middle

Last Name

DERVICHEV

Business Name

NIKOLAY M DERVICHEV

Original Issue Date

04/09/2007

Effective Date

08/25/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009