SHANNON E BULLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185975

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

BULLA

Business Name

SHANNON E BULLA

Original Issue Date

08/06/2008

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013