CHARLENE DEANNE MURDAKES MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152964

License Status

NOT RENEWED

Business

Title

First Name

CHARLENE

Middle

DEANNE

Last Name

MURDAKES

Business Name

CHARLENE DEANNE MURDAKES MD

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005