CAROL LYNN BAKULA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169869

License Status

INACTIVE

Business

First Name

CAROL

Middle

LYNN

Last Name

BAKULA

Business Name

CAROL LYNN BAKULA

Original Issue Date

07/10/2006

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

01/06/2015