DEBRA ELAINE K MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067323

License Status

NOT RENEWED

Business

First Name

DEBRA ELAINE K

Last Name

MCCULLOUGH

Business Name

DEBRA ELAINE K MCCULLOUGH

Original Issue Date

05/20/1977

Effective Date

05/20/1977

Expiration Date

01/01/1997

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

10/17/2005