KIMBERLY J FREDRICKSEN - Pharmacist License in Illinois | # 049092339

KIMBERLY J FREDRICKSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092339

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY J

Last Name

FREDRICKSEN

Business Name

KIMBERLY J FREDRICKSEN

Original Issue Date

02/21/1990

Effective Date

02/21/1990

Expiration Date

03/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005