AMBROSE DAVID PODUSKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274300

License Status

NOT RENEWED

Business

First Name

AMBROSE

Middle

DAVID

Last Name

PODUSKA

Business Name

AMBROSE DAVID PODUSKA

Original Issue Date

07/14/2020

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

ROCK ISLAND

State

Zip

61201

Ever Disciplined

LastModifiedDate

07/27/2022