KENNETH GACUAN RULLODA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265494

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

GACUAN

Last Name

RULLODA

Business Name

KENNETH GACUAN RULLODA

Original Issue Date

05/22/2019

Effective Date

05/22/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021