MIRIAM BULLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057931

License Status

NOT RENEWED

Business

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

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/17/2005