MICHAEL STANISLAW DERLICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256851

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

STANISLAW

Last Name

DERLICH

Business Name

MICHAEL STANISLAW DERLICH

Original Issue Date

03/19/2018

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022