MICHAEL B FREDERICKSON - Pharmacist License in South Carolina | # 051030185

MICHAEL B FREDERICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030185

License Status

NOT RENEWED

Business

N

First Name

MICHAEL B

Last Name

FREDERICKSON

Business Name

MICHAEL B FREDERICKSON

Original Issue Date

08/02/1974

Effective Date

02/20/2018

Expiration Date

09/30/2020

State

SC

Ever Disciplined

N

LastModifiedDate

01/14/2021