TODD ALAN FREDERICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224089

License Status

NOT RENEWED

Business

First Name

TODD

Middle

ALAN

Last Name

FREDERICKS

Business Name

TODD ALAN FREDERICKS

Original Issue Date

03/25/2014

Effective Date

06/17/2015

Expiration Date

03/31/2016

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/20/2016