DEREK B BURNS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204266

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

BURNS

Prefix

Business Name

DEREK B BURNS

Original Issue Date

05/20/2011

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

MOUNT VERNON

State

Zip

62864

Ever Disciplined

LastModifiedDate

05/20/2016