DEREK SCOTT DYBALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219745

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

SCOTT

Last Name

DYBALL

Business Name

DEREK SCOTT DYBALL

Original Issue Date

08/05/2013

Effective Date

08/05/2013

Expiration Date

03/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014