AMBER MARTHA BULLOCK - Pharmacist License in Illinois | # 049172604

AMBER MARTHA BULLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172604

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008