SELENA A NULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156628

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

Last Name

NULTON

Business Name

SELENA A NULTON

Original Issue Date

08/13/2004

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022