MYRTLE MAXINE BULLARD - Pharmacist License in Illinois | # 049059450

MYRTLE MAXINE BULLARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059450

License Status

NOT RENEWED

Business

N

First Name

MYRTLE MAXINE

Last Name

BULLARD

Business Name

MYRTLE MAXINE BULLARD

Original Issue Date

05/07/1973

Effective Date

05/07/1973

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005