MICHELLE FREDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079712

License Status

NOT RENEWED

Business

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

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005