DEREK M VICKERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213739

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

VICKERS

Business Name

DEREK M VICKERS

Original Issue Date

09/26/2012

Effective Date

03/29/2013

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014