JACKIE W MCCULLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098609

License Status

NOT RENEWED

Business

First Name

JACKIE W

Last Name

MCCULLA

Business Name

JACKIE W MCCULLA

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

03/31/2003

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005