LISA A FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115472

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

FREDERICK

Business Name

LISA A FREDERICK

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

03/31/1999

City

GENESEO

State

Zip

61254

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005