STACY M LULICH - Pharmacist License in Indiana | # 049166450

STACY M LULICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166450

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

M

Last Name

LULICH

Business Name

STACY M LULICH

Original Issue Date

02/07/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IN

Ever Disciplined

N

LastModifiedDate

05/06/2009