BRODY M FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219814

License Status

NOT RENEWED

Business

First Name

BRODY

Middle

Last Name

FREDERICK

Business Name

BRODY M FREDERICK

Original Issue Date

08/07/2013

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/15/2019