DERICK A LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219213

License Status

NOT RENEWED

Business

First Name

DERICK

Middle

Last Name

LOPEZ

Business Name

DERICK A LOPEZ

Original Issue Date

07/08/2013

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016