CARRIE L MCCALLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154876

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

MCCALLUM

Business Name

CARRIE L MCCALLUM

Original Issue Date

06/10/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008