HIDETAKA FUKUDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080187

License Status

NOT RENEWED

Business

First Name

HIDETAKA

Last Name

FUKUDA

Business Name

HIDETAKA FUKUDA

Original Issue Date

08/28/1984

Effective Date

08/28/1984

Expiration Date

03/31/1987

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005