LISA ANN FREDERICK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287633

License Status

ACTIVE

Business

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

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

01/30/2026