DANIEL S FRAILICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156123

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

FRAILICH

Business Name

DANIEL S FRAILICH

Original Issue Date

07/20/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007