ERIK S FREDERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100882

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005