FREDERICK MARK SELAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032178

License Status

INACTIVE

Business

First Name

FREDERICK MARK

Last Name

SELAN

Business Name

FREDERICK MARK SELAN

Original Issue Date

08/17/1978

Effective Date

08/17/1978

Expiration Date

03/31/1988

City

NEWTON

State

Zip

07860

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005