License holder summary

DERRICK LEWIS BLACKWELL is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 07/01/2004 and expired on 06/30/2007.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

DERRICK LEWIS BLACKWELL
Pharmacy - Cs 1
License number
5315018819
Date granted
07/01/2004
Date expires
06/30/2007
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39145374
LAST UPDATED 2024-01-08 14:14:23 UTC

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