MARISA ANN GULOTTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126617

License Status

NOT RENEWED

Business

First Name

MARISA

Middle

ANN

Last Name

GULOTTA

Business Name

MARISA ANN GULOTTA

Original Issue Date

07/07/1999

Effective Date

07/07/1999

Expiration Date

03/31/2000

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005