DEREK M PHILLIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207510

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

PHILLIPS

Business Name

DEREK M PHILLIPS

Original Issue Date

10/28/2011

Effective Date

10/28/2011

Expiration Date

03/31/2012

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/07/2012