BETTY L FREDERICKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097858

License Status

NOT RENEWED

Business

First Name

BETTY L

Last Name

FREDERICKSEN

Business Name

BETTY L FREDERICKSEN

Original Issue Date

08/26/1991

Effective Date

08/26/1991

Expiration Date

03/31/2001

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005