Jerry W Frederick
ExpiredIllinois license 049056486
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049056486
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Jerry W Frederick
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Crown Point, IN 46307
Indiana County