DEREK CHRISTOPHER PHILLIPS PSYD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183830

License Status

INACTIVE

Business

Title

PSYD

First Name

DEREK

Middle

CHRISTOPHER

Last Name

PHILLIPS

Business Name

DEREK CHRISTOPHER PHILLIPS PSYD

Original Issue Date

04/23/2008

Effective Date

01/15/2015

Expiration Date

03/31/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

01/28/2016