MARK WILLIAM FREDERICHS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060659

License Status

NOT RENEWED

Business

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

City

PROSPECT HTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005