Derrick J Goen
ExpiredIllinois license 049089254
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049089254
- Status
- Expired (Not Renewed)
- First issued
- March 18, 1989
- Expired
- March 31, 1995
- License holder
- Derrick J Goen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/18/1989
Contact
Champaign, IL 61824
Champaign County