DARLA N PETCHULAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140614

License Status

NOT RENEWED

Business

First Name

DARLA

Middle

Last Name

PETCHULAT

Business Name

DARLA N PETCHULAT

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2006

City

POCAHONTAS

State

Zip

62275

County

BOND

Ever Disciplined

LastModifiedDate

05/11/2006