FLORENTINA M SUGUDOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144130

License Status

NOT RENEWED

Business

First Name

FLORENTINA

Middle

Last Name

SUGUDOM

Business Name

FLORENTINA M SUGUDOM

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/31/2005

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005