FREDREC C SWAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019054

License Status

INACTIVE

Business

First Name

FREDREC C

Last Name

SWAN

Business Name

FREDREC C SWAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CAMBRIDGE

State

Zip

61238

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005