STACY RENEE GULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119761

License Status

NOT RENEWED

Business

First Name

STACY

Middle

RENEE

Last Name

GULA

Business Name

STACY RENEE GULA

Original Issue Date

01/08/1998

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011