MICHELLE CARRISSA HULS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144860

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

CARRISSA

Last Name

HULS

Business Name

MICHELLE CARRISSA HULS

Original Issue Date

09/26/2002

Effective Date

09/26/2002

Expiration Date

03/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005