JANE A DERHAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184906

License Status

NOT RENEWED

Business

First Name

JANE

Middle

Last Name

DERHAKE

Business Name

JANE A DERHAKE

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

03/31/2009

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2009