JOHN RANDALL SULGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165915

License Status

NOT RENEWED

Business

First Name

JOHN RANDALL

Last Name

SULGA

Business Name

JOHN RANDALL SULGA

Original Issue Date

01/04/2006

Effective Date

02/01/2018

Expiration Date

03/31/2019

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/15/2019