FRED J GILLEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132959

License Status

INACTIVE

Business

First Name

FRED

Middle

Last Name

GILLEN

Business Name

FRED J GILLEN

Original Issue Date

10/06/2000

Effective Date

01/16/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

01/09/2014