DERRICHEARD D DEVANCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123438

License Status

NOT RENEWED

Business

First Name

DERRICHEARD

Middle

Last Name

DEVANCE

Business Name

DERRICHEARD D DEVANCE

Original Issue Date

10/26/1998

Effective Date

10/26/1998

Expiration Date

03/31/2002

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005