CHUDLYN RESERVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298277

License Status

NOT RENEWED

Business

First Name

CHUDLYN

Last Name

RESERVA

Business Name

CHUDLYN RESERVA

Original Issue Date

12/05/2022

Effective Date

03/09/2023

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025