MICHELLE MARIE FREDRICKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133949

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

FREDRICKSEN

Business Name

MICHELLE MARIE FREDRICKSEN

Original Issue Date

12/11/2000

Effective Date

12/11/2000

Expiration Date

03/31/2003

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005