PAULA S BULLARD BURCHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176612

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

Last Name

BULLARD BURCHAM

Business Name

PAULA S BULLARD BURCHAM

Original Issue Date

05/25/2007

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021