SHANNA JEAN FREDRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297954

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

JEAN

Last Name

FREDRICK

Business Name

SHANNA JEAN FREDRICK

Original Issue Date

11/26/2022

Effective Date

11/26/2022

Expiration Date

03/31/2023

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

09/07/2023