MAURENE M BULTHUIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101864

License Status

NOT RENEWED

Business

First Name

MAURENE M

Last Name

BULTHUIS

Business Name

MAURENE M BULTHUIS

Original Issue Date

12/01/1992

Effective Date

12/01/1992

Expiration Date

03/31/1994

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005