HEIDI E FREDRICKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100106

License Status

NOT RENEWED

Business

First Name

HEIDI E

Last Name

FREDRICKSEN

Business Name

HEIDI E FREDRICKSEN

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/1993

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005