TIMOTHY LEE MCCULLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150913

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

LEE

Last Name

MCCULLEN

Business Name

TIMOTHY LEE MCCULLEN

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005