SEAN R DEFRATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161817

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

Last Name

DEFRATES

Business Name

SEAN R DEFRATES

Original Issue Date

06/21/2005

Effective Date

03/17/2010

Expiration Date

03/31/2011

City

HAWTHORN WOODS

State

Zip

60047

Ever Disciplined

LastModifiedDate

05/12/2011