FRED RONALD SKAFGAARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123649

License Status

NOT RENEWED

Business

First Name

FRED

Middle

RONALD

Last Name

SKAFGAARD

Business Name

FRED RONALD SKAFGAARD

Original Issue Date

11/10/1998

Effective Date

11/10/1998

Expiration Date

03/31/2001

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005