BRIAN CHRISTOPHER FUDACZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286516

License Status

INACTIVE

Business

First Name

BRIAN

Middle

CHRISTOPHER

Last Name

FUDACZ

Business Name

BRIAN CHRISTOPHER FUDACZ

Original Issue Date

04/09/1998

Effective Date

02/22/2010

Expiration Date

03/31/2012

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/12/2012