KEVIN J MCCULLOUGH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070437

License Status

CANCELLED

Business

First Name

KEVIN J

Last Name

MCCULLOUGH

Business Name

KEVIN J MCCULLOUGH

Original Issue Date

12/01/1978

Effective Date

12/01/1978

Expiration Date

03/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005