DERRICK M COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269460

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

COLLINS

Business Name

DERRICK M COLLINS

Original Issue Date

11/22/2019

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021