MINA LI-ANN MCCULLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191162

License Status

NOT RENEWED

Business

First Name

MINA

Middle

LI-ANN

Last Name

MCCULLOUGH

Business Name

MINA LI-ANN MCCULLOUGH

Original Issue Date

04/20/2009

Effective Date

04/20/2009

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010