MARTHA L FREVERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035446

License Status

NOT RENEWED

Business

First Name

MARTHA L

Last Name

FREVERT

Business Name

MARTHA L FREVERT

Original Issue Date

09/05/1984

Effective Date

01/25/2010

Expiration Date

03/31/2012

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012