KELLY M TUDTUD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122119

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

TUDTUD

Business Name

KELLY M TUDTUD

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2003

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005