GARY S FREASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066214

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

FREASE

Business Name

GARY S FREASE

Original Issue Date

10/08/1976

Effective Date

10/08/1976

Expiration Date

03/31/1984

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005