CARLY ERIN FREDERICK - Pharmacist License in Illinois | # 049158666

CARLY ERIN FREDERICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158666

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010