DAVID W DERRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024882

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

DERRICK

Business Name

DAVID W DERRICK

Original Issue Date

02/01/1960

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

INDIANAPOLIS

State

Zip

46227

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006