MCKENZI D FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237388

License Status

NOT RENEWED

Business

First Name

MCKENZI

Middle

Last Name

FREDERICK

Business Name

MCKENZI D FREDERICK

Original Issue Date

11/02/2015

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

05/10/2017