JACQUELYN S KUDZMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088868

License Status

NOT RENEWED

Business

First Name

JACQUELYN S

Last Name

KUDZMA

Business Name

JACQUELYN S KUDZMA

Original Issue Date

02/01/1989

Effective Date

02/01/1989

Expiration Date

03/31/1990

City

ROCKFORD

State

Zip

61114

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005