MATTHEW E FREDERICK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175102

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

FREDERICK

Business Name

MATTHEW E FREDERICK

Original Issue Date

03/27/2007

Effective Date

03/18/2009

Expiration Date

03/31/2010

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/12/2010