MICHELLE J FUDALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145323

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

FUDALA

Business Name

MICHELLE J FUDALA

Original Issue Date

10/16/2002

Effective Date

06/22/2023

Expiration Date

03/31/2024

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025