ROSE-MARY FUDALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108388

License Status

NOT RENEWED

Business

First Name

ROSE-MARY

Last Name

FUDALA

Business Name

ROSE-MARY FUDALA

Original Issue Date

10/05/1994

Effective Date

10/05/1994

Expiration Date

03/31/2004

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005