DERAK STANBACK - Pharmacist License in Illinois | # 049294189

DERAK STANBACK

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294189

License Status

ACTIVE

Business

N

First Name

DERAK

Last Name

STANBACK

Business Name

DERAK STANBACK

Original Issue Date

07/15/2022

Effective Date

01/03/2025

Expiration Date

03/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

01/30/2026