FORTUNEE MASSUDA - Pharmacist License in Illinois | # 051030533

FORTUNEE MASSUDA

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030533

License Status

INACTIVE

Business

N

First Name

FORTUNEE

Last Name

MASSUDA

Business Name

FORTUNEE MASSUDA

Original Issue Date

07/25/1975

Effective Date

07/25/1975

Expiration Date

03/31/1990

State

IL

Ever Disciplined

Y

LastModifiedDate

10/17/2005

Case Number

1988001158

Action

Suspension

Discipline Start Date

09/08/1989

Discipline End Date

10/07/1989