THERESA BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087712

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

BULLOCK

Business Name

THERESA BULLOCK

Original Issue Date

09/03/1988

Effective Date

09/03/1988

Expiration Date

03/31/1997

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005