ALISSA M DERKSON - Pharmacist License in Illinois | # 049189725

ALISSA M DERKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189725

License Status

NOT RENEWED

Business

N

First Name

ALISSA

Middle

M

Last Name

DERKSON

Business Name

ALISSA M DERKSON

Original Issue Date

02/19/2009

Effective Date

02/19/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010