MELISSA M FREDHOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095572

License Status

NOT RENEWED

Business

First Name

MELISSA M

Last Name

FREDHOLM

Business Name

MELISSA M FREDHOLM

Original Issue Date

01/18/1991

Effective Date

01/18/1991

Expiration Date

03/31/1994

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005