ANTHONY D FUDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142482

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

FUDGE

Business Name

ANTHONY D FUDGE

Original Issue Date

05/17/2002

Effective Date

05/17/2002

Expiration Date

03/31/2003

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005