KRYSTAL LYNNE FRERICHS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152084

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

LYNNE

Last Name

FRERICHS

Business Name

KRYSTAL LYNNE FRERICHS

Original Issue Date

11/06/2003

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

PENFIELD

State

Zip

61862

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012