ANTHONY D FUDGE - Pharmacist License in Illinois | # 049142482

ANTHONY D FUDGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142482

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

D

Last Name

FUDGE

Business Name

ANTHONY D FUDGE

Original Issue Date

05/17/2002

Effective Date

05/17/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005