ELLEN N MCCULLOUGH - Pharmacist License in Indiana | # 049207164

ELLEN N MCCULLOUGH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207164

License Status

NOT RENEWED

Business

N

First Name

ELLEN

Middle

N

Last Name

MCCULLOUGH

Prefix

MR

Business Name

ELLEN N MCCULLOUGH

Original Issue Date

10/07/2011

Effective Date

03/25/2019

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/08/2021