NATALIE MARIE MASULLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129106

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

MARIE

Last Name

MASULLA

Business Name

NATALIE MARIE MASULLA

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

03/31/2002

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005