MEG DANIELLE BIBULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158572

License Status

NOT RENEWED

Business

First Name

MEG

Middle

DANIELLE

Last Name

BIBULA

Business Name

MEG DANIELLE BIBULA

Original Issue Date

12/23/2004

Effective Date

12/23/2004

Expiration Date

03/31/2006

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006