DERRICKA R BOLDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176246

License Status

NOT RENEWED

Business

First Name

DERRICKA

Middle

Last Name

BOLDEN

Business Name

DERRICKA R BOLDEN

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008