CHARLENE M CRUDUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162586

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

Last Name

CRUDUP

Business Name

CHARLENE M CRUDUP

Original Issue Date

07/28/2005

Effective Date

07/28/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006