RAPHAEL D BRUNDIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303953

License Status

NOT RENEWED

Business

First Name

RAPHAEL

Middle

Last Name

BRUNDIDGE

Business Name

RAPHAEL D BRUNDIDGE

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025