CLARENCE L FUKA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197399

License Status

INACTIVE

Business

First Name

CLARENCE

Middle

Last Name

FUKA

Prefix

Business Name

CLARENCE L FUKA

Original Issue Date

03/22/2010

Effective Date

01/14/2011

Expiration Date

03/31/2012

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2012