CASEY F MUDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141107

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

MUDGE

Business Name

CASEY F MUDGE

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

03/31/2003

City

BELLFLOWER

State

Zip

61724

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005