FRED W ALTSTADT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077958

License Status

NOT RENEWED

Business

First Name

FRED W

Last Name

ALTSTADT

Business Name

FRED W ALTSTADT

Original Issue Date

03/09/1983

Effective Date

03/09/1983

Expiration Date

03/31/2005

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005