JACK M FREDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057060

License Status

NOT RENEWED

Business

First Name

JACK M

Last Name

FREDRICKSON

Business Name

JACK M FREDRICKSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005