DEREK N SHOOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178538

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

SHOOK

Business Name

DEREK N SHOOK

Original Issue Date

08/17/2007

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010