PAUL J FUDALA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063554

License Status

CANCELLED

Business

First Name

PAUL J

Last Name

FUDALA

Business Name

PAUL J FUDALA

Original Issue Date

05/30/1975

Effective Date

05/30/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007