MACHALA NICOLE ULLRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117573

License Status

NOT RENEWED

Business

First Name

MACHALA

Middle

NICOLE

Last Name

ULLRICK

Business Name

MACHALA NICOLE ULLRICK

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

03/31/1998

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005