LORI ANNE BULLOCK - Pharmacist License in Illinois | # 049145377

LORI ANNE BULLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145377

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005