NICOLE DUDYCHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257475

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

DUDYCHA

Business Name

NICOLE DUDYCHA

Original Issue Date

04/11/2018

Effective Date

04/11/2018

Expiration Date

03/31/2019

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/15/2019