DERRICK WALLACE FREELAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188138

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

WALLACE

Last Name

FREELAND

Business Name

DERRICK WALLACE FREELAND

Original Issue Date

11/05/2008

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010