FREDRIC B FOSSE SR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189104

License Status

INACTIVE

Business

First Name

FREDRIC

Middle

Last Name

FOSSE

Suffix

Business Name

FREDRIC B FOSSE SR

Original Issue Date

01/08/2009

Effective Date

01/08/2009

Expiration Date

03/31/2010

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/12/2010