NIKKI S FRED - Pharmacist License in Illinois | # 049115367

NIKKI S FRED

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115367

License Status

NOT RENEWED

Business

N

First Name

NIKKI S

Last Name

FRED

Business Name

NIKKI S FRED

Original Issue Date

09/25/1996

Effective Date

09/25/1996

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005