DERRON SPENCER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144808

License Status

NOT RENEWED

Business

First Name

DERRON

Last Name

SPENCER

Business Name

DERRON SPENCER

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

03/31/2003

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005