WESLEY DEAN FREDERICK - Pharmacist License in Illinois | # 049104401

WESLEY DEAN FREDERICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104401

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005