DERRICK T JANSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227217

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

JANSSEN

Business Name

DERRICK T JANSSEN

Original Issue Date

08/18/2014

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018