TRACEY FREDRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177019

License Status

NOT RENEWED

Business

First Name

TRACEY

Last Name

FREDRICKS

Prefix

Business Name

TRACEY FREDRICKS

Original Issue Date

06/13/2007

Effective Date

06/13/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008