JEFFERY R DERRICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189117

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

DERRICO

Prefix

Business Name

JEFFERY R DERRICO

Original Issue Date

01/09/2009

Effective Date

03/25/2013

Expiration Date

03/31/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014