DERRICK K POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199908

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

POWELL

Business Name

DERRICK K POWELL

Original Issue Date

08/12/2010

Effective Date

08/12/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011