DERRICK WIERZBICKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161123

License Status

NOT RENEWED

Business

First Name

DERRICK

Last Name

WIERZBICKI

Business Name

DERRICK WIERZBICKI

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

03/31/2006

City

DYER

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006