BRUCE S FRAZIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032997

License Status

INACTIVE

Business

First Name

BRUCE S

Last Name

FRAZIN

Business Name

BRUCE S FRAZIN

Original Issue Date

11/07/1979

Effective Date

02/29/2016

Expiration Date

03/31/2018

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2018