FLORENTINA M SUGUDOM - Pharmacist License in Illinois | # 049144130

FLORENTINA M SUGUDOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144130

License Status

NOT RENEWED

Business

N

First Name

FLORENTINA

Middle

M

Last Name

SUGUDOM

Business Name

FLORENTINA M SUGUDOM

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005