DEREK R MACIAGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200188

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

MACIAGA

Business Name

DEREK R MACIAGA

Original Issue Date

08/26/2010

Effective Date

08/26/2010

Expiration Date

03/31/2011

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011