CARRIE MICHELLE FEDYNICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151957

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

MICHELLE

Last Name

FEDYNICH

Business Name

CARRIE MICHELLE FEDYNICH

Original Issue Date

10/30/2003

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012