DONALD R PULLIAM JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111872

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

PULLIAM JR

Business Name

DONALD R PULLIAM JR

Original Issue Date

09/20/1995

Effective Date

09/20/1995

Expiration Date

03/31/1996

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005