TIM E FREDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094490

License Status

NOT RENEWED

Business

First Name

TIM E

Last Name

FREDRICKSON

Business Name

TIM E FREDRICKSON

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1994

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005