RAPHAEL D BRUNDIDGE - Pharmacist License in Illinois | # 049303953

RAPHAEL D BRUNDIDGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303953

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL

Middle

D

Last Name

BRUNDIDGE

Business Name

RAPHAEL D BRUNDIDGE

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025