MICHELLE FREDRICKSON - Pharmacist License in Illinois | # 049079712

MICHELLE FREDRICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079712

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Last Name

FREDRICKSON

Business Name

MICHELLE FREDRICKSON

Original Issue Date

05/02/1984

Effective Date

05/02/1984

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005