MARK WILLIAM FREDERICHS - Pharmacist License in Illinois | # 049060659

MARK WILLIAM FREDERICHS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060659

License Status

NOT RENEWED

Business

N

First Name

MARK WILLIAM

Last Name

FREDERICHS

Business Name

MARK WILLIAM FREDERICHS

Original Issue Date

11/30/1973

Effective Date

11/30/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005