DERRICKA R BOLDEN - Pharmacist License in Illinois | # 049176246

DERRICKA R BOLDEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176246

License Status

NOT RENEWED

Business

N

First Name

DERRICKA

Middle

R

Last Name

BOLDEN

Business Name

DERRICKA R BOLDEN

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008