Derick R Douglas
ExpiredIllinois license 049102941
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049102941
- Status
- Expired (Not Renewed)
- First issued
- April 1, 1993
- Expired
- March 31, 1996
- License holder
- Derick R Douglas
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/01/1993
Contact
Mason City, IL 62664
Mason County