MICHAEL B FREDERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030185

License Status

NOT RENEWED

Business

First Name

MICHAEL B

Last Name

FREDERICKSON

Business Name

MICHAEL B FREDERICKSON

Original Issue Date

08/02/1974

Effective Date

02/20/2018

Expiration Date

09/30/2020

City

SURFSIDE BEACH

State

Zip

29575

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

01/14/2021