JODI H FUGATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121265

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

FUGATE

Business Name

JODI H FUGATE

Original Issue Date

06/02/1998

Effective Date

06/02/1998

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005