DEREK DENNIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293997

License Status

NOT RENEWED

Business

First Name

DEREK

Last Name

DENNIS

Business Name

DEREK DENNIS

Original Issue Date

03/04/2010

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

MUSTANG

State

Zip

73064

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/14/2022