JUDE ATABONG AGENDIA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288815

License Status

NOT RENEWED

Business

First Name

JUDE

Middle

ATABONG

Last Name

AGENDIA

Suffix

Business Name

JUDE ATABONG AGENDIA MD

Original Issue Date

05/13/2002

Effective Date

07/27/2022

Expiration Date

03/31/2024

City

LAKE CHARLES

State

Zip

70605

County

LOUISIANA

Ever Disciplined

LastModifiedDate

02/05/2025