ELTON A FREDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018944

License Status

NOT RENEWED

Business

First Name

ELTON A

Last Name

FREDRICKSON

Business Name

ELTON A FREDRICKSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005