MATTHEW E FREDERICK - Pharmacist License in Illinois | # 049175102

MATTHEW E FREDERICK

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175102

License Status

INACTIVE

Business

N

First Name

MATTHEW

Middle

E

Last Name

FREDERICK

Business Name

MATTHEW E FREDERICK

Original Issue Date

03/27/2007

Effective Date

03/18/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2010