ADDY LOUISE FRAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129994

License Status

NOT RENEWED

Business

First Name

ADDY

Middle

LOUISE

Last Name

FRAILEY

Business Name

ADDY LOUISE FRAILEY

Original Issue Date

03/15/2000

Effective Date

03/15/2000

Expiration Date

03/31/2005

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005