EDIDIONG MICHAEL UDONKANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165406

License Status

NOT RENEWED

Business

First Name

EDIDIONG

Middle

MICHAEL

Last Name

UDONKANG

Business Name

EDIDIONG MICHAEL UDONKANG

Original Issue Date

08/24/2005

Effective Date

12/06/2005

Expiration Date

03/31/2006

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006