MEGAN MICHELLE HULTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121436

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MICHELLE

Last Name

HULTZ

Business Name

MEGAN MICHELLE HULTZ

Original Issue Date

06/10/1998

Effective Date

01/25/2012

Expiration Date

03/31/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2013