DEREK R MERRIMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189873

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

MERRIMAN

Business Name

DEREK R MERRIMAN

Original Issue Date

02/24/2009

Effective Date

03/02/2011

Expiration Date

03/31/2012

City

BLUFFS

State

Zip

62621

County

SCOTT

Ever Disciplined

LastModifiedDate

05/07/2012