DONALD J DUDACEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025328

License Status

NOT RENEWED

Business

First Name

DONALD J

Last Name

DUDACEK

Business Name

DONALD J DUDACEK

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008