JILL ANN PUDLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062551

License Status

NOT RENEWED

Business

First Name

JILL ANN

Last Name

PUDLO

Business Name

JILL ANN PUDLO

Original Issue Date

11/15/1974

Effective Date

11/15/1974

Expiration Date

01/01/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005