BRUCE AMAEZE FREDRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112837

License Status

NOT RENEWED

Business

First Name

BRUCE AMAEZE

Last Name

FREDRICKS

Business Name

BRUCE AMAEZE FREDRICKS

Original Issue Date

12/21/1995

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009