KEVIN J MCCULLOUGH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061894

License Status

CANCELLED

Business

First Name

KEVIN J

Last Name

MCCULLOUGH

Business Name

KEVIN J MCCULLOUGH

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005