ANTHONY THOMAS PUDLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137619

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

THOMAS

Last Name

PUDLO

Business Name

ANTHONY THOMAS PUDLO

Original Issue Date

08/08/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007