DEREK D HOLYCROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103699

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

HOLYCROSS

Business Name

DEREK D HOLYCROSS

Original Issue Date

06/11/1993

Effective Date

06/11/1993

Expiration Date

03/31/1999

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005