JUDRYN M RACINES MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104474

License Status

NOT RENEWED

Business

Title

First Name

JUDRYN

Middle

Last Name

RACINES

Business Name

JUDRYN M RACINES MD

Original Issue Date

09/11/1993

Effective Date

09/11/1993

Expiration Date

03/31/2005

City

CHICAAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005