DERRICK J SORLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200011

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

SORLES

Business Name

DERRICK J SORLES

Original Issue Date

08/19/2010

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015