MADELINE M FUDALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248797

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

Last Name

FUDALA

Business Name

MADELINE M FUDALA

Original Issue Date

03/02/2017

Effective Date

03/29/2022

Expiration Date

03/31/2023

City

HERMITAGE

State

Zip

37076

County

KANE

Ever Disciplined

LastModifiedDate

09/07/2023