TRUDY M GUDAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063657

License Status

NOT RENEWED

Business

First Name

TRUDY M

Last Name

GUDAT

Business Name

TRUDY M GUDAT

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005