VIVIAN M DERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035597

License Status

NOT RENEWED

Business

First Name

VIVIAN M

Last Name

DERICK

Business Name

VIVIAN M DERICK

Original Issue Date

12/13/1984

Effective Date

12/13/1984

Expiration Date

03/31/1992

City

COLUMBUS

State

Zip

43235

County

OHIO

Ever Disciplined

LastModifiedDate

10/17/2005