LYNN MARY FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150635

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

MARY

Last Name

FREDERICK

Business Name

LYNN MARY FREDERICK

Original Issue Date

09/17/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PRAIRIE VIEW

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008