DERRICK GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222030

License Status

NOT RENEWED

Business

First Name

DERRICK

Last Name

GREEN

Business Name

DERRICK GREEN

Original Issue Date

11/15/2013

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016