CHARLES THEODORE BARKULIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121347

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

THEODORE

Last Name

BARKULIS

Business Name

CHARLES THEODORE BARKULIS

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

03/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005