WESLEY DEAN FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104401

License Status

NOT RENEWED

Business

First Name

WESLEY DEAN

Last Name

FREDERICK

Business Name

WESLEY DEAN FREDERICK

Original Issue Date

08/31/1993

Effective Date

08/31/1993

Expiration Date

03/31/2000

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005