SUSAN K MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116373

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MCCULLOUGH

Business Name

SUSAN K MCCULLOUGH

Original Issue Date

01/30/1997

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/15/2019