KIRK W FREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119840

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

Last Name

FREY

Business Name

KIRK W FREY

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005