DERRICK WALLACE FREELAND - Pharmacist License in Illinois | # 049188138

DERRICK WALLACE FREELAND

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188138

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010