LARRY A FUDACZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053570

License Status

NOT RENEWED

Business

First Name

LARRY A

Last Name

FUDACZ

Business Name

LARRY A FUDACZ

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005