ANGELA R DERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210632

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

DERRY

Business Name

ANGELA R DERRY

Original Issue Date

04/26/2012

Effective Date

04/26/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013