ROBERTA A FREDERICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068543

License Status

NOT RENEWED

Business

First Name

ROBERTA A

Last Name

FREDERICKS

Business Name

ROBERTA A FREDERICKS

Original Issue Date

12/09/1977

Effective Date

12/09/1977

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005