IRMA TANUDJAJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075979

License Status

NOT RENEWED

Business

First Name

IRMA

Last Name

TANUDJAJA

Business Name

IRMA TANUDJAJA

Original Issue Date

01/29/1982

Effective Date

01/29/1982

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005