Derrick Dwayne Bullock
ExpiredIllinois license 049075138
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049075138
- Status
- Expired (Not Renewed)
- First issued
- August 17, 1981
- Expired
- March 31, 1984
- License holder
- Derrick Dwayne Bullock
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/17/1981
Contact
Chicago, IL 60638
Cook County