JAYDIN ANN MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140891

License Status

NOT RENEWED

Business

First Name

JAYDIN

Middle

ANN

Last Name

MCCULLOUGH

Business Name

JAYDIN ANN MCCULLOUGH

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005