Detavis Vonte Derrickson
ExpiredIllinois license 049272192
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049272192
- Status
- Expired (Not Renewed)
- First issued
- April 1, 2020
- Expired
- March 31, 2021
- License holder
- Detavis Vonte Derrickson
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/01/2020
Contact
Danville, IL 61832
Vermilion County