SUE ELLEN BRUNDIES - Pharmacist License in Illinois | # 049079960

SUE ELLEN BRUNDIES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079960

License Status

NOT RENEWED

Business

N

First Name

SUE ELLEN

Last Name

BRUNDIES

Business Name

SUE ELLEN BRUNDIES

Original Issue Date

07/05/1984

Effective Date

07/05/1984

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005