GWEN F FRICKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106251

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

Last Name

FRICKE

Business Name

GWEN F FRICKE

Original Issue Date

03/14/1994

Effective Date

03/14/1994

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005