BRIAN ELVIS HULLEBERG - Pharmacist License in Illinois | # 049105560

BRIAN ELVIS HULLEBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105560

License Status

NOT RENEWED

Business

N

First Name

BRIAN ELVIS

Last Name

HULLEBERG

Business Name

BRIAN ELVIS HULLEBERG

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005