ANN M FUDALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082678

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

FUDALA

Business Name

ANN M FUDALA

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

03/31/1991

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005