FRED CHARLES PRILLAMAN JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121822

License Status

NOT RENEWED

Business

First Name

FRED

Middle

CHARLES

Last Name

PRILLAMAN

Suffix

Business Name

FRED CHARLES PRILLAMAN JR

Original Issue Date

06/30/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GLENVIEW

State

Zip

60026

Ever Disciplined

LastModifiedDate

05/14/2007