LAURA L FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122089

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

FREDERICK

Business Name

LAURA L FREDERICK

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2005

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005