BRIANNA N ULLOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154212

License Status

NOT RENEWED

Business

First Name

BRIANNA

Middle

Last Name

ULLOM

Business Name

BRIANNA N ULLOM

Original Issue Date

04/28/2004

Effective Date

04/28/2004

Expiration Date

03/31/2006

City

MATHERVILLE

State

Zip

61263

County

MERCER

Ever Disciplined

LastModifiedDate

05/11/2006