DANIEL WAYNE TULLEY - Pharmacist License in Illinois | # 049152270

DANIEL WAYNE TULLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152270

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

WAYNE

Last Name

TULLEY

Business Name

DANIEL WAYNE TULLEY

Original Issue Date

12/01/2003

Effective Date

12/01/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005