DAWN T BULLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153458

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

BULLARD

Business Name

DAWN T BULLARD

Original Issue Date

03/03/2004

Effective Date

03/03/2004

Expiration Date

03/31/2005

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005