MICHAEL B FREDERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057008

License Status

NOT RENEWED

Business

First Name

MICHAEL B

Last Name

FREDERICKSON

Business Name

MICHAEL B FREDERICKSON

Original Issue Date

10/29/1971

Effective Date

10/29/1971

Expiration Date

01/01/1997

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005