FREDERICK N FUNK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035651

License Status

INACTIVE

Business

First Name

FREDERICK N

Last Name

FUNK

Business Name

FREDERICK N FUNK

Original Issue Date

01/04/1985

Effective Date

02/22/2018

Expiration Date

09/30/2020

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/04/2020