LORI ANNE BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145377

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANNE

Last Name

BULLOCK

Business Name

LORI ANNE BULLOCK

Original Issue Date

10/17/2002

Effective Date

10/17/2002

Expiration Date

03/31/2003

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005