ERIK S FREDERICKSON - Pharmacist License in Illinois | # 049100882

ERIK S FREDERICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100882

License Status

NOT RENEWED

Business

N

First Name

ERIK S

Last Name

FREDERICKSON

Business Name

ERIK S FREDERICKSON

Original Issue Date

08/03/1992

Effective Date

08/03/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005