LARRY A FUDACZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028752

License Status

INACTIVE

Business

First Name

LARRY A

Last Name

FUDACZ

Business Name

LARRY A FUDACZ

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

HINSDALE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005