TAMARA FREDERKING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068205

License Status

NOT RENEWED

Business

First Name

TAMARA

Last Name

FREDERKING

Business Name

TAMARA FREDERKING

Original Issue Date

09/30/1977

Effective Date

09/30/1977

Expiration Date

03/31/1991

City

OKAWVILLE

State

Zip

62271

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005