PATRICE L CULLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154149

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

CULLEN

Business Name

PATRICE L CULLEN

Original Issue Date

04/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007