PAULINE S FREDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091601

License Status

NOT RENEWED

Business

First Name

PAULINE S

Last Name

FREDRICKSON

Business Name

PAULINE S FREDRICKSON

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

03/31/1990

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005