DEREK M SINCAVAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202768

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

SINCAVAGE

Business Name

DEREK M SINCAVAGE

Original Issue Date

02/16/2011

Effective Date

02/16/2011

Expiration Date

03/31/2012

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/07/2012