DERRICK M COLLINS - Pharmacist License in Illinois | # 049269460

DERRICK M COLLINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269460

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Middle

M

Last Name

COLLINS

Business Name

DERRICK M COLLINS

Original Issue Date

11/22/2019

Effective Date

01/10/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021