FRED M KATSUYAMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021897

License Status

NOT RENEWED

Business

First Name

FRED M

Last Name

KATSUYAMA

Business Name

FRED M KATSUYAMA

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005