MARIE ELENA BULTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066388

License Status

NOT RENEWED

Business

First Name

MARIE ELENA

Last Name

BULTMAN

Business Name

MARIE ELENA BULTMAN

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

01/01/1997

City

OKAWVILLE

State

Zip

62271

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005