MICHAEL J ALFREDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156333

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

ALFREDSON

Business Name

MICHAEL J ALFREDSON

Original Issue Date

07/29/2004

Effective Date

02/17/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013