MIRIAM BULLARD - Pharmacist License in Illinois | # 049057931

MIRIAM BULLARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057931

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Last Name

BULLARD

Business Name

MIRIAM BULLARD

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

03/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005