JASON LEIGH FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124749

License Status

NOT RENEWED

Business

First Name

JASON

Middle

LEIGH

Last Name

FREDERICK

Business Name

JASON LEIGH FREDERICK

Original Issue Date

02/19/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008