BRIAN CHRISTOPHER FUDACZ - Pharmacist License in Illinois | # 049101461

BRIAN CHRISTOPHER FUDACZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101461

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

CHRISTOPHER

Last Name

FUDACZ

Business Name

BRIAN CHRISTOPHER FUDACZ

Original Issue Date

10/07/1992

Effective Date

10/07/1992

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005