MATTHEW MICHAEL FRERICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100503

License Status

NOT RENEWED

Business

First Name

MATTHEW MICHAEL

Last Name

FRERICKS

Business Name

MATTHEW MICHAEL FRERICKS

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

03/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005