HENRY GLENN MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059769

License Status

NOT RENEWED

Business

First Name

HENRY GLENN

Last Name

MCCULLOUGH

Business Name

HENRY GLENN MCCULLOUGH

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

01/01/1997

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005