LARRY A FUDACZ - Pharmacist License in Illinois | # 051028752

LARRY A FUDACZ

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028752

License Status

INACTIVE

Business

N

First Name

LARRY A

Last Name

FUDACZ

Business Name

LARRY A FUDACZ

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005