KEITH J FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031878

License Status

NOT RENEWED

Business

First Name

KEITH J

Last Name

FREDERICK

Business Name

KEITH J FREDERICK

Original Issue Date

09/14/1977

Effective Date

09/14/1977

Expiration Date

01/31/1982

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005