CHAD DOUGLAS ULLOM - Pharmacist License in Kansas | # 051293421

CHAD DOUGLAS ULLOM

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293421

License Status

INACTIVE

Business

N

First Name

CHAD

Middle

DOUGLAS

Last Name

ULLOM

Business Name

CHAD DOUGLAS ULLOM

Original Issue Date

06/26/2009

Effective Date

03/05/2014

Expiration Date

03/31/2016

State

KS

Ever Disciplined

N

LastModifiedDate

01/28/2016