ASHLEY I FUDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207808

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

FUDGE

Prefix

Business Name

ASHLEY I FUDGE

Original Issue Date

11/15/2011

Effective Date

03/19/2012

Expiration Date

03/31/2013

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013