PAVEL DEREVNIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181061

License Status

NOT RENEWED

Business

First Name

PAVEL

Last Name

DEREVNIN

Business Name

PAVEL DEREVNIN

Original Issue Date

12/11/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009