KAREN SUE FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164972

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

SUE

Last Name

FREDERICK

Business Name

KAREN SUE FREDERICK

Original Issue Date

11/14/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

VERMONT

State

Zip

61484

County

FULTON

Ever Disciplined

LastModifiedDate

05/02/2008