CARLY ERIN FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158666

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

ERIN

Last Name

FREDERICK

Business Name

CARLY ERIN FREDERICK

Original Issue Date

12/29/2004

Effective Date

03/13/2009

Expiration Date

03/31/2010

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/04/2010