AUDREY J MUDROCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149941

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

MUDROCH

Business Name

AUDREY J MUDROCH

Original Issue Date

08/19/2003

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010