BRIAN ELVIS HULLEBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105560

License Status

NOT RENEWED

Business

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

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005