TRACEY FREDRICKS - Pharmacist License in Illinois | # 049177019

TRACEY FREDRICKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177019

License Status

NOT RENEWED

Business

N

First Name

TRACEY

Last Name

FREDRICKS

Prefix

MR

Business Name

TRACEY FREDRICKS

Original Issue Date

06/13/2007

Effective Date

06/13/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008