AMBER MARTHA BULLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172604

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MARTHA

Last Name

BULLOCK

Business Name

AMBER MARTHA BULLOCK

Original Issue Date

11/16/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008