LISA ANN FREDERICK - Pharmacist License in Illinois | # 049287633

LISA ANN FREDERICK

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287633

License Status

ACTIVE

Business

N

First Name

LISA

Middle

ANN

Last Name

FREDERICK

Business Name

LISA ANN FREDERICK

Original Issue Date

11/05/2021

Effective Date

01/23/2025

Expiration Date

03/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

01/30/2026