JENNIFER J KUDELKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126244

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KUDELKA

Business Name

JENNIFER J KUDELKA

Original Issue Date

06/07/1999

Effective Date

06/07/1999

Expiration Date

03/31/2005

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005