SIMON NATHANIAL FREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149155

License Status

NOT RENEWED

Business

First Name

SIMON

Middle

NATHANIAL

Last Name

FREY

Business Name

SIMON NATHANIAL FREY

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

City

HAMMOND

State

Zip

46323

Ever Disciplined

LastModifiedDate

10/20/2005