DEREK JAMES DEBOER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282293

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

JAMES

Last Name

DEBOER

Business Name

DEREK JAMES DEBOER

Original Issue Date

05/14/2021

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

09/07/2023