DEREK K DEKERLEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198392

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

DEKERLEGAND

Prefix

Business Name

DEREK K DEKERLEGAND

Original Issue Date

05/16/2010

Effective Date

02/01/2011

Expiration Date

03/31/2012

City

GREENCASTLE

State

Zip

46135

Ever Disciplined

LastModifiedDate

05/07/2012