WIWIK W KERTAYUDA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139752

License Status

ACTIVE

Business

First Name

WIWIK

Middle

Last Name

KERTAYUDA

Business Name

WIWIK W KERTAYUDA

Original Issue Date

12/31/2001

Effective Date

01/31/2026

Expiration Date

03/31/2027

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/31/2026