STACY FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281812

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

FREDERICK

Business Name

STACY FREDERICK

Original Issue Date

04/27/2021

Effective Date

04/27/2021

Expiration Date

05/31/2022

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

07/27/2022